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《經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折的護(hù)理體會(huì).doc》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、經(jīng)皮椎體后凸成形術(shù)治療骨質(zhì)疏松椎體壓縮性骨折的護(hù)理體會(huì)［摘要］目的探討經(jīng)皮椎體后凸成形術(shù)(卩KP)治療骨質(zhì)疏松椎體壓縮性骨折的護(hù)理措施。方法對浙江省臺(tái)州市黃巖中醫(yī)院口2010年1月?2012年12月收治的86例骨質(zhì)疏松椎體壓縮性骨折患者實(shí)行PKP治療。比較護(hù)理前后患者的視覺模擬評(píng)分法(VAS)評(píng)分、Barthel指數(shù)、光距尺燈(0DI).椎體變高程度、Cobb角度等各項(xiàng)指標(biāo)。結(jié)果手術(shù)護(hù)理前，VAS評(píng)分為(&1土1.5)分，Barthel指數(shù)為(52?0±4.2),0DI為(73.4±5.1),椎體前部變高(
2、22.1±3.5)mm,椎體中部變高(23.2土3.8)mm,Cobb角度為(19.3±2.4)°o手術(shù)護(hù)理后，VAS評(píng)分為(1?9±0.3)分,Barthel指數(shù)為(83.2±6.4),0D［為(22?3土2?9),椎體前部變高(23.8±2.7)mm,椎體中部變高(24.0土2.1)mm,Cobb角度為(12.7±3.3)°?；颊呤中g(shù)護(hù)理前后在VAS評(píng)分、Barthel指數(shù)、ODT、椎體變高程度、Cobb角度等各項(xiàng)指標(biāo)的比較上，差異均有統(tǒng)計(jì)學(xué)意義(均P<0.05)o結(jié)論合理有效的護(hù)理是PKP治療骨質(zhì)疏松
3、椎體壓縮性骨折患者手術(shù)成功的重要基礎(chǔ)，能夠有效地促進(jìn)患者術(shù)后的康復(fù)，提高患者的生活質(zhì)量。［關(guān)鍵詞］經(jīng)皮椎體后凸成形術(shù)；骨質(zhì)疏松；壓縮性骨折;護(hù)理［中圖分類號(hào)］R687.3［文獻(xiàn)標(biāo)識(shí)碼］C［文章編號(hào)］1673-7210(2014)02(c)-0124-04NursingexperienceofPKPintreatmentofosteoporosisvertebralcompressionfracturesJIANGLingzhulQUANRenfu21.DepartmentofOrthopedics,Huan
4、gyanHospitalofTraditionalChineseMedicineinTaizhouCity,Zhejiang卩rovinee,Taizhou318020,China；2.DepartmentofOrthopedics,XiaoshanDistrictHospitalofTraditionalChineseMedicineinHangzhouCity,ZhejiangProvince,Hangzhou311201,China[Abstract]ObjectiveToexplorethenurs
5、ingmeasuresofpercutaneouskyphoplasty(卩K卩)intreatmentofosteoporosisvertebralcompressionfractures?Methods86patientswithosteoporosisvertebralcompressionfracturesinHuangyanHospitalofTaditionalChineseMedicineinTaizhouCityofZhejiangProvincefromJanuary2010toDecem
6、ber2012performedPKPtreatmentwereselected.Visualanaloguescore(VAS)score,Barthelindex,opticaldistanceindicator(0DI),thedegreeofheightofvertebralbodiesandCobbanglewerecomparedbeforeandafternursing.ResultsBeforesurgerynursing,VASscorewas(8.1±1?5)score,Bartheli
7、ndexwas(52?0±4?2),0DIwas(73.4±5.1),feinteriordepartmenthigherwas(22.1+3.5)mm,centralvertebralbodieshigherwas(23.2±3.8)mm,Cobbanglewas(19.3±2.4)°.Aftersurgerynursing,VASscorewas(1.9+0.3)score,Barthelindexwas(83>2+6.4),ODTwas(223±2.9),fanteriordepartmenthigh
8、erwas(23.8+2.7)mm,centralvertebralbodieshigherwas(24.0+2.1)mm,Cobbanglewas(12?7±3?3)°?TherewereallstatisticallysignificantdifferencesinVASscore,Barthelindex,ODT,higherdegreeofvertebralbodiesandCobbanglebefore
