围手术期特殊护理对胸腰段爆裂型骨折合并神经损伤患者术后疗效和生活质量的影响

目的 探究与分析胸腰段爆裂型骨折合并神经损伤患者的围手术期特殊护理及对术后生活质量的影响.方法 选取80例胸腰段爆裂性合并神经损伤患者,按照就诊时间顺序随机分为围手术期常规护理组与围手术期特殊护理组,每组各40例,对比两组术后疼痛及腰背部功能评分、神经功能恢复及术后生活质量评价.结果 围手术期特殊护理组与围手术期常规护理组相比疼痛有效率,腰背功能评分优良率升高,但差异无统计学意义(P>0.05).围手术期特殊护理组与围手术期常规护理组相比神经功能C级所占比例降低,E级所占比例升高.围手术期特殊护理组与围手术期常规护理组术后较术前相比生活质量中生理功能、家庭功能、情感功能、社会功能评分升高,围手术期特殊护理组上述评分升高更加显著,差异有统计学意义(P<0.05).结论 对于胸腰段爆裂型骨折合并神经损伤患者采取积极有效的围手术期特殊护理的临床效果显著,术后生活质量较高,值得推广与应用.

Effect of perioperative special nursing on patients of thoracolumbar burst fracture with nerve damage and its influence on postoperative life qualityPAN Jun (Department of Orthopaedics,Neijiang Hospital of Traditional Chinese Medicine,Neijiang,Sichuan 641000,China)Abstract:Objective

Objective To explore and analyze the perioperative special nursing and its influence on postoperative life quality of patients suffering from thoracolumbar burst fracture with nerve damage. Methods Eighty cases with thoracolumbar burst fracture and nerve damage treated in Neijiang Hospital of TCM from June 2013 to June 2015 were selected. All the patients were assigned into periopera-tive routine nursing group and perioperative special nursing group according to the visiting sequence,40 cases in each group. The post-operative pain and lower back function score,neural functional recovery,and the evaluation of the postoperative life quality were com-pared between the two groups. Results The effective rate of pain and lumbar back function score of perioperative special nursing group were increased compared with the perioperative routine nursing group,but no significant differences (P>0. 05). The proportion of neu-ral function class C of perioperative special nursing group was decreased and the proportion of neural function class E was increased compared with perioperative routine nursing group. The scores of postoperative life quality including the physiological function,the house-hold function,emotional function,and social function of the two groups were increased,and the increasing of these scores in perioperative special nursing group were more remarkable than that in perioperative routine nursing group,with statistically significant differences ( P<0. 05). Conclusions Positive and effective perioperative special nursing for the treatment of thoracolumbar burst fracture with nerve dam-age can receive remarkable curative effect and improve postoperative life quality,which is worthy of popularization and application.