摘要
目的探讨快速康复护理在腰椎骨折椎体成形围手术期的运用效果及安全性。方法选取常州市中医医院2017-09-01-2019-06-01收治的因外伤导致腰椎骨折的50例患者为研究对象。按照组间基本特征均衡可比的原则,分为快速康复护理组(观察组)和传统方法护理组(对照组)。比较2组术前、术后6、12、24及48h视觉模拟评分(VAS)、Barthel指数、术后首次下床活动时间、术后首次踝泵功能锻炼时间、住院时间及住院费用等指标。结果观察组术后12hVAS评分为(1.64±0.64)分,低于对照组的(2.08±0.76)分,t=-2.107,P=0.023;术后24h评分为(1.12±0.60)分,低于对照组的(1.52±0.65)分,t=-2.449,P=0.037;术后48h评分为(0.56±0.58)分,低于对照组的(0.96±0.61)分,t=-2.352,P=0.019。观察组术后1d、3d和1周的Barthel指数分别为(60.60±4.41)分,(78.00±6.77)分和(92.00±3.54)分,优于传统护理组,均P<0.05。观察组术后首次下床活动时间为(3.60±0.76)h,短于对照组的(8.12±2.35)h,t=-9.933,P<0.001。观察组术后首次踝泵训练时间为(1.32±0.66)h,短于对照组的(6.44±1.01)h,t=-21.623,P<0.001。观察组平均住院天数为(3.72±0.74)d,短于对照组的(7.40±0.82)d,t=-18.618,P=0.012。观察组住院费用为(8880.36±311.51)元,低于对照组的(12234.96±960.69)元,t=-18.238,P=0.003。结论快速康复护理具有减轻腰椎骨折椎体成形术围手术期患者疼痛、改善生理功能、提早首次下床活动时间及术后首次踝泵功能锻炼时间、降低术后并发症、减少住院时间及住院费用的作用。
Objective Explored the effect and safety of rapid rehabilitation nursing in the perioperative period of lumbar vertebral fracture vertebroplasty.Methods From September 1,2017 to June 1,2019,a total of 50 patients with lumbar spine fractures due to trauma treated in Changzhou Hospital of Traditional Chinese Medicine were selected as the research objects.According to the principle of balanced and comparable basic characteristics between the groups,they were divided into a rapid rehabilitation nursing group(observation group)and a traditional method nursing group(control group).The visual analogue scale(VAS),Barthel index,time to get out of bed for the first time after operation,time for the first postoperative ankle pump exercise,average hospital stay and hospitalization expenses were compared between the two groups before and after 6,12,24 and 48 hours.Results The 12 hpostoperative VAS score of the observation group was(1.64±0.64)points,which was lower than the control group’s(2.08±0.76)points,t=-2.107,P=0.023.The 24 h postoperative scores were(1.12±0.60)points,lower than the control group’s(1.52±0.65)points,t=-2.449,P=0.037.The score of 48 hours after the operation was(0.56±0.58)points,lower than the control group’s(0.96±0.61)points,t=-2.352,P=0.019.The Barthel indices of the observation group at 1 d,3 dand 1 week after operation were(60.60±4.41)points,(78.00±6.77)points and(92.00±3.54)points respectively,which were significantly better than those in the traditional nursing group,all P<0.05.The time for the observation group to get out of bed for the first time after operation was(3.60±0.76)h,which was shorter than(8.12±2.35)h in the control group,t=-9.933,P<0.001.The first ankle pump training time in the observation group was(1.32±0.66)h,which was shorter than(6.44±1.01)h in the control group,t=-21.623,P<0.001.The average length of stay in the observation group was(3.72±0.74)d,which was shorter than that of the control group(7.40±0.82)d,t=-18.618,P=0.012.The hospitalization expense of the observation group was(8880.36±311.51)yuan,which was lower than that of the control group’s(12234.96±960.69)yuan,t=-18.238,P=0.003.Conclusion Rapid rehabilitation nursing can reduce the pain of patients during the perioperative period of lumbar vertebral fracture vertebroplasty,improve the physiological function of the patients,get out of bed earlier and the first postoperative ankle pump exercise time,reduce postoperative complications,and reduce the average hospital stay and hospital stay cost.
作者
王雁
蒋阳
WANG Yan;JIANG Yang(Department of Orthopaedics,Changzhou traditional Chinese medicine hospital,Changzhou213003,China)
出处
《社区医学杂志》
CAS
2021年第10期635-638,共4页
Journal Of Community Medicine
关键词
快速康复护理
腰椎骨折
围手术期
rapid rehabilitation nursing
lumbar fracture
perioperative period
