布带上提法结合椎体后凸成形术治疗重度椎体压缩性骨折的观察及护理.docxVIP

布带上提法结合椎体后凸成形术治疗重度椎体压缩性骨折的观察及护理 严晓云鲁秀平李玉伟 (河南省潔河市屮心医院 河南潔河462000) 【摘要】冃的探讨应用布带上提法结合经皮椎体后凸成型术(PKP)治疗重 度椎体压缩性骨折的围手术期护理措施。方法应用布带上提法结合PKP术治疗 重度椎体压缩性骨折28例。术前作好心理护理、合并症的处理、专科器械准备 等外，应用布带条兜着患者椎体骨折后凸处上提，使脊柱极度过伸纠正部分脊柱 后凸畸形；术中与操作医师紧密配合，术后严密观察生命体征变化、并发症的发 生及疗效观察。结果28例患者均顺利完成手术，术后6?8h疼痛迅速缓解，术 后l~2d均能下床活动。椎体高度由术前(7.9plusmn;0.3) cm增加至术后第 3d (15.2plusmn;0.25) cm, COBB 角 由术前 31deg;plusmn;2.80deg;矫正至 术后 18.20deg;plusmn;2.7deg; VAS 评分由术前(7.1 plusmn;1.36)分降至 术后第3d (1.20plusmn;0.90)分，各项目差异均有显著性(PV0.01)。骨水泥 漏2例，一例为椎间盘漏，一例椎体侧方漏。无严重并发症的发生。结论布带 上提法结合PKP术是一种较为简单、安全、损伤小的治疗重度椎体压缩性骨折的 有效方法，在止痛和纠正脊柱后凸畸形方面具有肯定的效果。科学的围手术期护 理是提高手术成功率、减少并发症的重要保证。 【关键词】椎体后凸成型术 护理 脊柱过伸复位 并发症 【屮图分类号】R473.6 【文献标识码】A 【文章编号】1672-5085 (2013) 50-0067-02 Observation and nursing care of hyperextension position and percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fractures Yan xiao-yun, Li YAN?HUI, Lu xiu-ping, Li yu-wei [Abstract] Objective to explore the application of hyperextension position and percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fractures. Methods Applications hyperextension position and percutaneous kyphoplasty for treatment of osteoporotic vertebral compression fractures in 28 cases. Preoperative make psychological care, complications of treatment, specialist equipme nt ready en du res, the applicati on cloth strips bear mentioning on vertebral fractures in patients with kyphosis at the spine of extreme hyperextension corrective part of kyphosis; surgery operation the physician closely with, and after close observation of changes in vital signs, and the incidenee of complications and efficacy. Results 28 cases were successfully surgery, postoperative 6?8h quickly relieve pain after 1 ? 2d able to get out of bed. Vertebral height from preoperative (7.9 plusmn; 0.3) cm in crease after 3d (15.2 plusmn; 0.25) cm, COBB angle correctio n from preoperative 31 deg;plusmn; 2.80deg;to of Postoperative 18.20 deg;plusmn; 2.7 deg;, the VAS score from preoperati