持续护理干预对椎体后凸成形术患者功能恢复影响.docVIP

持续护理干预对椎体后凸成形术患者功能恢复影响 　　摘要：目的 探讨持续护理干预对骨质疏松性椎体压缩骨折患者行椎体后凸成形术后功能恢复的影响。方法 按随机数字表法将60例骨质疏松性椎体椎体压缩骨折患者分为对照组和持续干预组，对照组行一般常规护理；持续干预组在一般常规护理的基础上，给予康复专家指导、定期家庭访视、每日电话咨询以及心理疏导等持续护理干预。并采用FIM指数评定量表对两组患者在入院时、术后3d、出院1个月、出院3个月进行评价。结果 所有患者手术顺利，未发生并发症，持续干预组FIM指数评分明显高于对照组（P0. 01）。结论 持续护理干预对骨质疏松性椎体压缩骨折椎体后凸成形术后患者的功能恢复有促进作用。 　　关键词：骨质疏松性椎体压缩骨折；椎体后凸成形术；持续护理干预 　　Continuous Nursing Intervention on the Effect of Kyphoplasty Function of Patients Recovery 　　YU Can-juan 　　（Ningxiang County Hospital of traditional Chinese Medicine，Ningxiang 410600，Hunan，China） 　　Abstract：Objective To explore the impact of continuous nursing intervention on functional recovery of Percutaneous kyphoplasty of Osteoporotic vertebral compression fracture patients.Methods 60 cases of patients who were suffered from Osteoporotic vertebral compression fracture divided into control group and continuous nursing intervention group by Random number table，Routine care was implemented in the control group，and the continuous nursing intervention including Rehabilitation experts guidance，regular home visits，daily telephone consultation and psychological persuasion and so on，FIM index rating scale was evaluated at admission，three days after surgery，one month and three months after discharge.Results All Patients were successfully operated with no complications，FIM Index in the continuous nursing intervention group was higher than the control group（P0.01）.Conclusion The continuous nursing intervention can promote functional recovery of Percutaneous kyphoplasty of Osteoporotic vertebral compression fracture patients. 　　Key words：Osteoporotic vertebral compression fracture；Percutaneous kyphoplasty；continuous nursing intervention 　　随着我国人民生活水平的提高，人口老龄化问题日趋严重，随之而来骨质疏松症患者明显增多，因骨质疏松导致脊柱压缩性骨折（Osteoporotic vertebral compression fracture，OVCF）的患者也逐年增加[1]。传统治疗方法以卧床休息为主，卧床时间长，并发症多，近年来在脊柱外科领域，经皮椎体后凸成形术（Percutaneous kyphoplasty，PKP）成为治疗OVCF的新方向，通过该技术可部分恢复椎体高度，从而纠正后凸畸形，减轻骨折所致疼痛，具有创伤小，安全性高，见效快，并发症少等优点[2]。PKP术后患者的临床症状缓解明显，但生活独立能力的恢复因人而异