中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
25期
3228-3230
,共3页
脊柱骨折%综合护理%腰椎髂骨固定螺钉
脊柱骨摺%綜閤護理%腰椎髂骨固定螺釘
척주골절%종합호리%요추가골고정라정
Lumber fracture%Comprehensive nursing%Lumber iliac fixed screws
目的：探讨综合护理在行腰椎髂骨固定螺钉治疗的腰椎骨折患者术后护理中的应用。方法选择行腰椎髂骨固定螺钉治疗的腰椎骨折患者156例，按照随机数字表法分为观察组和对照组各78例。对照组患者术后接受常规护理，观察组患者接受综合护理干预，比较两组患者疗效和术后并发症发生率。结果观察组患者愈合时间为（14．1±2．3）周，明显短于对照组的（16．2±2．0）周，差异有统计学意义（t＝-6．085，P＜0．05）；观察组患者焦虑自评量表（SAS）评分、关节功能（Neer）评分分别为（52．9±3.5），（85．4±3．2）分，明显高于对照组的（57．2±3．9），（81．5±2．8）分，差异有统计学意义（t值分别为-7．247，8．101；P＜0．05）；观察组患者总治疗有效率为84．6％，明显高于对照组的70．5％，差异有统计学意义（χ2＝4．457，P＜0．05）；观察组患者术后感染发生率为1．3％，显著低于对照组的9．0％，差异有统计学意义（χ2＝4．743，P＜0．05）。结论对行腰椎髂骨固定螺钉治疗的腰椎骨折患者实施术后综合护理，可以改善手术疗效，降低术后并发症的发生率。
目的：探討綜閤護理在行腰椎髂骨固定螺釘治療的腰椎骨摺患者術後護理中的應用。方法選擇行腰椎髂骨固定螺釘治療的腰椎骨摺患者156例，按照隨機數字錶法分為觀察組和對照組各78例。對照組患者術後接受常規護理，觀察組患者接受綜閤護理榦預，比較兩組患者療效和術後併髮癥髮生率。結果觀察組患者愈閤時間為（14．1±2．3）週，明顯短于對照組的（16．2±2．0）週，差異有統計學意義（t＝-6．085，P＜0．05）；觀察組患者焦慮自評量錶（SAS）評分、關節功能（Neer）評分分彆為（52．9±3.5），（85．4±3．2）分，明顯高于對照組的（57．2±3．9），（81．5±2．8）分，差異有統計學意義（t值分彆為-7．247，8．101；P＜0．05）；觀察組患者總治療有效率為84．6％，明顯高于對照組的70．5％，差異有統計學意義（χ2＝4．457，P＜0．05）；觀察組患者術後感染髮生率為1．3％，顯著低于對照組的9．0％，差異有統計學意義（χ2＝4．743，P＜0．05）。結論對行腰椎髂骨固定螺釘治療的腰椎骨摺患者實施術後綜閤護理，可以改善手術療效，降低術後併髮癥的髮生率。
목적：탐토종합호리재행요추가골고정라정치료적요추골절환자술후호리중적응용。방법선택행요추가골고정라정치료적요추골절환자156례，안조수궤수자표법분위관찰조화대조조각78례。대조조환자술후접수상규호리，관찰조환자접수종합호리간예，비교량조환자료효화술후병발증발생솔。결과관찰조환자유합시간위（14．1±2．3）주，명현단우대조조적（16．2±2．0）주，차이유통계학의의（t＝-6．085，P＜0．05）；관찰조환자초필자평량표（SAS）평분、관절공능（Neer）평분분별위（52．9±3.5），（85．4±3．2）분，명현고우대조조적（57．2±3．9），（81．5±2．8）분，차이유통계학의의（t치분별위-7．247，8．101；P＜0．05）；관찰조환자총치료유효솔위84．6％，명현고우대조조적70．5％，차이유통계학의의（χ2＝4．457，P＜0．05）；관찰조환자술후감염발생솔위1．3％，현저저우대조조적9．0％，차이유통계학의의（χ2＝4．743，P＜0．05）。결론대행요추가골고정라정치료적요추골절환자실시술후종합호리，가이개선수술료효，강저술후병발증적발생솔。
Objective To investigate the application of comprehensive nursing in patients with lumber fractures after the treatment of lumber iliac fixed screws .Methods A total of 156 patients with lumber fractures after the treatment of lumber iliac fixed screws were selected as the study object , and were randomly divided into the observation group and the control group , with 78 cases each .The control group was given the routine nursing, while the observation was given the comprehensive nursing besides the routine nursing care .The efficacy and postoperative complications of the two groups were observed and compared .Results After the nursing intervention, the fracture healing time of the observation was ( 14.1 ±2.3 ) week, which was significantly shorter than (16.2 ±2.0) week of the control group (t=-6.085,P<0.05).The SAS and Neer Scores were (52.9 ±3.5) and (85.4 ±3.2) of the observation group, which were significantly higher than (57.2 ±3.9) and (81.5 ±2.8) of the control group (t=-7.247,8.101, respectively;P<0.05).The treatment success rate of the observation group was 84.6%, which was significantly higher than 70.5% of the control group (χ2 =4.457,P <0.05).The infection rate of the observation group was 1.3%, which was significantly lower than 9.0%of the control group (χ2 =4.743,P<0.05).Conclusions The comprehensive nursing can improve the efficacy of lumber iliac fixed screws , and reduce the occurrence of postoperative complications .It is deserved to be promoted widely in the clinical nursing work .
