The effect of comprehensive emergency care on the lower limb function and life quality in patients with osteoporotic compression fracture
JIANG Senting1 CAO Yang2▲
1.Department of Emergency, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China
2.Department of Orthopaedic, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China
Abstract:Objective To explore the effect of comprehensive emergency care on the lower limb function and life quality in patients with osteoporotic compression fracture. Methods From May 2014 to May 2016, 90 patients with osteoporotic compression fracture treated in the First Affiliated Hospital of Harbin Medical University were selected and divided into the control group and the observation group by random number table, with 45 cases in each group. The control group was given the routine emergency care and the observation group was given comprehensive emergency care on the bases of control group. The postoperative activity time, hospitalization time, postoperative pain score, the nursing satisfaction, the lower limb motor function score and the life quality after 1 year follow-up were compared between the two groups. Results The postoperative activity time and the hospitalization time in the observation group were shorter than those of control group, the postoperative pain score was lower than that of control group, with statistically significant differences (P < 0.05). The nursing satisfaction in the observation group (91.11%) was obviously higher than that of control group (71.11%), with statistically significant differences (P < 0.05). After nursing, the scores of lower limb motor function and the life quality in the two groups were higher than those of before nursing, and those in the observation group improved much more remarkably, with statistically significant differences (P < 0.05). Conclusion Comprehensive emergency nursing can effectively improve the postoperative rehabilitation in patients with osteoporotic compression fracture, promote the nursing satisfaction, improve the lower limb motor function and life quality. It is worthy of promotion and application.
姜森婷1 曹杨2▲. 综合急诊护理对骨质疏松致压缩性骨折患者下肢功能及生活质量的影响[J]. 中国医药导报, 2018, 15(4): 160-163.
JIANG Senting1 CAO Yang2▲. The effect of comprehensive emergency care on the lower limb function and life quality in patients with osteoporotic compression fracture. 中国医药导报, 2018, 15(4): 160-163.
[1] 赵国权,杨圣,罗春山.PVP治疗骨质疏松性椎体压缩性骨折的研究进展[J].中国骨与关节损伤杂志,2015,30(1):106-109.
[2] Mattie R,Laimi K,Yu S,et al. Comparing Percutaneous Vertebroplasty and Conservative Therapy for Treating Osteoporotic Compression Fractures in the Thoracic and Lumbar Spine:A Systematic Reviewand Meta-Analysis [J]. J Bone Joint Surg Am,2016,98(12):1041-1051.
[3] 徐丹.综合护理在经皮椎体成形术治疗骨质疏松性椎体压缩性骨折患者中的应用效果[J].实用中西医结合临床,2017,17(1):145-146.
[4] 杨红,易旦冰,肖亮,等.综合护理干预对老年骨质疏松性椎体压缩性骨折经皮椎体成形术后康复的效果观察[J].泰山医学院学报,2016,37(2):146-147.
[5] Ender SA,Eschler A,Ender M,et al. Fracture care using percutaneously applied titanium mesh cages(OsseoFix)for unstable osteoporotic thoracolumbar burst fractures is able to reduce cement associated complications-results after 12 months [J]. J Orthop Surg Res,2015,10(1):175-176.
[6] Wang XF,Fan YF,Shi RF,et al. The relationship between angle of puncture and distribution of bone cement of unilateral percutaneous kyphoplasty for the treatment of thoracolumbar compression fractures [J]. Zhongguo Gu Shang,2015,28(8):704-707.
[7] 陈瑞全,吴建贤,沈显山.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医学大学学报,2015,50(4):10-11.
[8] 胡彩平,林毅,李秋萍.SF-36量表与QLQ-C30量表在老年癌症病人生活质量评估中的应用及其相关性研究[J].护理研究,2015,29(8C):2987-2988.
[9] 左华,黄永辉,李大鹏,等.经皮椎体成形术及经皮后凸成形术治疗老年骨质疏松性椎体压缩性骨折的长期临床疗效比较[J].中国矫形外科杂志,2015,23(22):2021-2025.
[10] 戴腾,施克勤. 微创经皮椎体后凸成形术与经皮椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折的临床疗效对比[J].山西医药杂志,2015,44(16):1895-1897.
[11] 魏东,李华,王云清,等.体位复位联合经皮穿刺椎体后凸成形术治疗老年骨质疏松性压缩性骨折疗效分析[J].江苏医药,2015,41(11):1316-1317.
[12] Wang CH,Ma JZ,Zhang CC,et al. Comparison of high-viscositycement vertebroplasty and balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures [J]. Pain Physician,2015,18(2):E187-194.
[13] 覃卫,文维维.经皮椎体成形术治疗老年人骨质疏松性椎体压缩性骨折的临床护理[J].微创医学,2015,10(2):253-254.
[14] 徐骅.经皮椎体成形术治疗老年骨质疏松性椎体压缩性骨折的围手术期护理[J].国际医药卫生导报,2007,13(18) : 104-107.
[15] Inui T,Hashimoto H,Fujimoto K,et al. Percutaneous transluminalangioplasty using a stent for an aberrant left subclavian arterystenosis with a right-sided aortic arch:a case report [J]. No Shinkei Geka,2014,42(10):937-942.
[16] 陈晓依,刘峰,陈红方,等.老年骨质疏松性压缩性骨折患者自我感受负担与生活质量的研究[J].护士进修杂志,2013,28(6):486-487.
[17] 刘宇,王英东,杜玲.术前心理护理和术后康复锻炼对老年骨质疏松性椎体压缩性骨折患者的影响[J].中国煤炭工业医学杂志,2015,18(5):10-11.
[18] 王彩萍,龙亨国,俞璐璐.PKP结合体外充气复位治疗胸腰椎骨质疏松椎体压缩性骨折的护理[J].护理与康复,2015,14(5):90-91.
[19] 肖素萍,古紫云,谭志宏,等.经皮椎体成形术治疗骨质疏松性脊椎压缩性骨折28例综合护理干预[J].齐鲁护理杂志,2015,21(10):123-124.