后路椎弓根螺钉内固定治疗腰椎骨折手术室护理对策分析

赵月英

[摘要] 目的 將手术室护理应用在后路椎弓根螺钉内固定手术治疗的腰椎骨折患者中，分析和评价应用效果。方法 方便选取2015年4月—2017年9月该院纳入并开展后路椎弓根螺钉内固定手术治疗的70例腰椎骨折患者用作该文分析资料，按照护理方式差异性实施分组，手术室护理用于实验组（n=35），常规护理用于参照组（n=35），对比并分析2组患者的术后并发症总计率、护理满意总计率、手术用时、术中出血量。结果 实验组患者的术后并发症总计率（5.71%）对比参照组患者数值（25.71%）（χ2=5.285 1，P=0.021 5 <0.05），实验组患者的护理满意总计率（97.14%）对比参照组患者数值[（80.00%）（χ2=5.080 6，P=0.024 2 <0.05），实验组患者的手术用时、术中出血量（100.6±8.0）min、（31.4±3.0）mL]对比参照组患者数值[（111.0±9.5）min、（47.0±4.4）mL]（t=4.953 9、17.330 2，P=0.000 0、0.000 0 <0.05），实验组患者干预后的腰椎JOA评分数值（25.4±2.0 ）分对比参照组患者数值（19.0±1.2 ）分，（t=16.233 5，P=0.000 0 <0.05）。结论 在后路椎弓根螺钉内固定手术治疗的腰椎骨折患者中采取手术室护理呈现重要应用效果。

[关键词] 后路椎弓根螺钉内固定；腰椎骨折；手术室护理

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）04（c）-0140-03

Analysis of Strategies of Nursing in the Operating Room of Posterior Pedicle Screw Internal Fixation in Treatment of Fracture of Lumbar Vertebra

ZHAO Yue-ying

Operating Room， Shanting District Peoples Hospital， Zaozhuang， Shandong Province， 277200 China

[Abstract] Objective To analyze and evaluate the application effect of nursing in the operating room of posterior pedicle screw internal fixation in treatment of fracture of lumbar vertebra. Methods 70 cases of patients with fracture of lumbar vertebra for posterior pedicle screw internal fixation admitted and treated in our hospital from April 2015 to September 2017 were convenient selected and divided into two groups according to different nursing ways， with 35 cases in each， the experimental group applied the nursing in the operating room， while the control group used the routine nursing， and the total incidence rate of postoperative complications， total nursing satisfactory rate， operation time and intraoperative bleeding amount were compared between the two groups. Results The difference in the total complications after surgery between the experimental group and the control group was obvious （5.71% vs 25.71%）（χ2=5.285 1，P=0.021 5 <0.05），and the difference in the total nursing satisfactory rate between the experimental group and the control group was obvious， with statistical significance， （97.14% vs 80.00%）（χ2=5.080 6，P=0.024 2 <0.05）， and the differences in the operation time and intraoperative bleeding amount between the experimental group and the control group were obvious[（100.6±8.0）min，（31.4±3.0）mL] vs （111.0±9.5）min，（47.0±4.4）mL]（t=4.953 9，17.330 2，P=0.000 0，0.000 0<0.05）， and the difference in the lumbar JOA score after intervention between the experimental group and the control group was statistically significant[（25.4±2.0）points vs （19.0±1.2）points]（t=16.233 5，P=0.000 0 <0.05）. Conclusion The nursing in the operating room in the posterior pedicle screw internal fixation in treatment of fracture of lumbar vertebra can have a major application effect.

[Key words] Posterior pedicle screw internal fixation； Fracture of lumbar vertebra； Nursing in the operating room

腰椎骨折是临床骨科治疗中比较常见的一种脊柱外伤性相關疾病，于青壮年中具有比较高的发生几率，若患者没有获得及时治疗，严重的时候则会引发截瘫，甚至对其生命健康带来威胁[1]。该文实验目标是2015年4月—2017年9月该院纳入并开展手术治疗的70例腰椎骨折患者，分析和评价将手术室护理用在后路椎弓根螺钉内固定手术治疗的腰椎骨折患者中的应用效果以及价值，现报道如下。

1 资料与方法

1.1 一般资料

该文实验分析资料方便选取该院纳入并开展手术治疗的70例腰椎骨折患者，参考护理方式差异性实施分组，参照组含有男20例和女15例，年龄从23～58岁，年龄平均值是（42.98±5.07）岁；实验组含有男19例和女16例，年龄从24～56岁，年龄平均值是（42.95±5.04）岁。参比和分析参照组以及实验组腰椎骨折患者的临床数值资料，差异无统计学意义（P>0.05）。……