腰椎后路减压+plif内固定术的手术护理 - 实用中西医结合临床.doc

腰椎后路减压+PLIF内固定术的手术护理 王晓华 （广东省深圳市罗湖区人民医院手术室 深圳518000） 摘要：目的：探究腰椎后路减压+PLIF内固定术的手术护理。方法：选取55例进行PLIF治疗的腰椎滑脱患者，随机分成两组。观察组28例使用针对性护理，对照组27例使用常规护理，观察护理后患者的各项指标与生活质量。结果：观察组植骨融合率为96.43%，明显高于对照组的81.48%（P＜0.05）；观察组下腰疼痛和功能障碍情况分别为10.71%、7.14%，明显优于对照组的25.93%和22.22%（P＜0.05）；观察组并发症发生率为7.14%，明显低于对照组的14.81%（P＜0.05）；观察组生存质量各项指标的发生率为17.86%，明显优于对照组的66.67%（P＜0.05）。结论：PLIF手术采用针对性护理效果良好，不良病症明显减少，改善了病人的生活质量，值得推广应用。 关键词：腰椎滑脱；腰椎后路减压；PLIF内固定术；手术护理 Surgical Nursing of Posterior Lumbar Decompression and Posterior Lumbar Interbody Fusion (PLIF) Internal Fixation WANG Xiao-hua (Department of Operation, Luohu District Peoples Hospital of Shenzhen, Guangdong518000) Abstract: Objective: To explore the surgical nursing of posterior decompression and PLIF internal fixation. Methods: 55 Patients of lumbar spondylolisthesis treated by PLIF were randomly divided into two groups, the observation group (28 cases) was managed by surgical nursing, the control group (27 cases) was managed by conventional nursing, the quality of life of the patients after nursing were observed. Results: The bone graft fusion rate was 96.43% in the observation group, it was significantly higher than that in the control group (81.48%, P0.05); The lumbar pain and dysfunction situation were 10.71% and 7.14% respectively in the observation group, significantly lower than those in the control group (25.93% and 22.22%, P0.05); The incidence of complications was 7.14% in the observation group, significantly lower than that in the control group (14.81%, P0.05); The occurrence rate of the quality of life indexes was 17.86%, significantly lower than that in the control group (66.67%, P0.05). Conclusions: The PLIF operation is effective and the adverse symptoms are obviously decreased, and the quality of life of patients is improved, it is worthy of promotion and application. Key words: Lumbar spondylolisthesis; Posterior decompression; PLIF internal fixation; Surgical nursing 中图分类号：R473.6 文献标识码：B 腰椎滑脱是常见的顽固性的脊柱疼痛疾病[1]，目前，腰椎