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系统护理对颈椎骨折患者康复效果及并发症的影响(1)
http://www.100md.com 2014年8月1日 中外女性健康·下半月 2014年第8期
     【摘 要】目的:观察系统护理在颈椎骨折患者康复治疗中的效果及并发症的影响。方法:选取了2012 年1月至2014年1月我院骨科门诊收治的颈椎骨折患者共 50例,按照随机原则将其分为对照组和观察组各25例,对照组给予基础性的护理干预,观察组给予系统化护理干预,其中主要包括基础护理、体位护理、心理护理以及并发症预防、营养支持等。实施护理后对两组患者康复情况及并发症情况进行对比分析。结果:对比两组患者恢复情况,其中对照组日常生活能力评分为(77.3±2.8)分,运动评分(37.6±2.4)分,感觉评分为(95.6±4.5)分;观察组日常生活能力评分为(81.3±3.4)分,运动评分(39.5±2.7)分,感觉评分为(103.6±6.5)分。观察组并发症的发生率为16%,显著低于对照组的28%,组间对比差异有统计学意义(P<0.05)。结论:在颈椎骨折患者康复治疗中给予系统护理干预可提高治疗有效率,减少临床并发症,改善患者生活质量,值得在临床上进行推广和应用。

    【关键词】系统护理;颈椎骨折;康复效果;并发症

    Affect the system of care and rehabilitation in patients with cervical spine fractures and complications

    [Abstract] Objective: To observe the system of rehabilitation care in patients with cervical spine fracture effects and complications affected. Methods: The January 2012 January 2014 admitted to our hospital orthopedic outpatient cervical fracture patients with a total of 50 patients were randomly divided into in accordance with the control group and observation group with 25 patients in the control group was given basic nursing interventions systematic observation group were given nursing intervention, which includes basic care, postural care, heart care and prevention of complications, nutritional support. After the implementation of rehabilitation care and complications in the two groups of patients were analyzed. Results: The comparison of the two groups of patients recovery, which controls activities of daily living score was (77.3±2.8) points, the motor score (37.6±2.4) points, feeling score was (95.6±4.5) points; observation group ADL score was (81.3±3.4) points, the motor score (39.5±2.7) points, feeling score was (103.6±6.5) points. Complications occurred in the observation group was 16%, significantly lower than the 28% in the control group, the difference was statistically significant contrast (P <0.05) between groups. Conclusion: Given system rehabilitation nursing intervention in patients with cervical spine fracture treatment can improve efficiency, reduce clinical complications and improve patient quality of life, worthy of promotion and application in clinical practice.

    [Keywords]System Care; Cervical fracture; Rehabilitation; Complications

    颈椎骨折属于骨科中常见疾病之一,通常由意外性事故所致,给患者的生活带来严重的影响。其中病情严重的还可导致脊髓损伤或截瘫,临床症状表现为运动及感觉功能丧失。对此,在临床上重点做好颈椎骨折患者的治疗和护理工作具有重要意义[ 1 ]。本次研究中,选取了2012年1月至2014年1月我院骨科门诊收治的颈椎骨折患者共50例,观察了系统护理对患者康复及并发症的影响。相关研究结果报道如下。

    1 资料与方法

    1.1 一般资料

    选取了2012年1月至2014年1月我院骨科门诊收治的颈椎骨折患者共50例,其中车祸24例、重物砸伤16例、坠落伤10例,按照随机原则将其分为对照组和观察组各25例。其中对照组男15例,女10例,年龄在20~53岁,平均年龄(38.6±2.6)岁;观察组中男15例,女10例,年龄在20~53岁,平均年龄(38.6±2.6)岁。两组患者在性别、年龄以及病情上比较无显著差异,具有可比性。, http://www.100md.com(蔡回霞)
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