钉棒系统内固定治疗胸腰椎骨折护理及应用意义分析.docVIP

钉棒系统内固定治疗胸腰椎骨折护理及应用意义分析 　　【摘要】 目的：探?钉棒系统内固定治疗胸腰椎骨折的护理方法及应用价值。方法：选择2013年2月-2017年2月本院收治的108例胸腰椎骨折患者作为研究对象，采用数字抽样法分为对照组和观察组，各54例。两组患者均在本院行后路钉棒系统内固定治疗，对照组患者给予常规胸腰椎骨折围术期护理，观察组则采用围术期专项整体化护理，观察两组患者术后并发症情况，并比较两组术后腰椎功能、脊髓功能等情况。结果：观察组术后腰椎功能优良率（83.33%）显著高于对照组（68.52%），差异有统计学意义（P0.05）。术后观察组脊髓功能B级（12.96%）和C级占比（25.93%）均显著低于对照组（22.22%、35.19%），差异均有统计学意义（P0.05）；观察组脊髓功能D级（38.89%）和E级占比（22.22%）均显著高于对照组（29.63%、11.11%），差异均有统计学意义（P0.05）。观察组术后并发症发生率（5.56%）显著低于对照组（14.81%），差异有统计学意义（P0.05）。结论：胸腰椎骨折钉棒系统内固定治疗围术期采取针对、有效的整体化护理措施，可有效降低术后并发症风险，并可改善患者腰椎、脊髓功能，有助于改善患者预后。 　　【关键词】 胸腰椎骨折； 钉棒系统内固定； 临床护理； 应用意义 　　【Abstract】 Objective：To explore the nursing method and application value of nail stick system internal fixation in the treatment of thoracolumbar fracture.Method：From February 2013 to February 2017，108 patients with thoracolumbar fracture were selected as the research objects and divided into the control group and the observation group by the digital sampling method，54 cases in each group.Two groups were treated with posterior nail stick system internal fixation in our hospital，the control group was given routine perioperative nursing care in the treatment of thoracolumbar fractures，the observation group was given special perioperative holistic nursing，complications were observed in two groups，lumbar function，spinal cord function and of two groups were compared.Result：The excellent rate of lumbar function in the observation group（83.33%） was significantly higher than that in the control group（68.52%），there was statistical significance（P0.05）.The postoperative neurological function grade B（12.96%） and grade C（25.93%） of the observation group were significantly lower than those of the control group（22.22%，35.19%），there were statistical significance（P0.05）.The spinal cord function in grade D（38.89%） and grade E（22.22%） of the observation group were significantly higher than those of the control group（29.63%，11.11%），there were statistical significance（P0.05）.The incidence of postoperative complicati