刘晓会



椎体后凸成形术治疗老年性骨质疏松性脊柱压缩性骨折的护理体会

刘晓会

【摘要】目的 研究针对老年性骨质疏松性脊柱压缩性骨折患者，采用椎体后凸成型术（PKP）治疗的护理体会。方法 选取本院于2015年1月～2016年1月收治的34例老年性骨质疏松性脊柱压缩性骨折患者，回顾性分析其临床资料，总结其护理要点。观察其临床疗效及疼痛改善情况。结果 患者经手术治疗，并接受早期护理干预措施治疗后，患者疾病治愈例数为26例（76.47%），病情恢复良好为5例（14.71%），病情有所改善为3例（8.82%）；28例患者在术后机体疼痛随即消失，疼痛完全缓解。6例患者在术后第4 d疼痛消失。结论 针对老年性骨质疏松性脊柱压缩性骨折的患者实施手术治疗后，为其进行护理干预措施，针对围手术期进行全面护理，大部分患者临床疗效较好且机体疼痛得到有效缓解。

【关键词】老年性骨质疏松性脊柱压缩性骨折；护理；影响

Objective To study the nursing intervention for elderly patients with osteoporotic vertebral compression fracture during the process of PKP. MethodsThe clinical data about 34 elderly patients with osteoporotic vertebral compression fracture treated from January 2015 to January 2016 in our hospital was retrospectively analyzed. The nursing intervention was applied. The clinical effect and pain degree was observed. Results After surgery and nursing intervention，there were 26 cases cured（76.47%），5 cases good（14.71%）and 3 cases improved（8.82%），after surgery，the pain for 28 cases was completely disappeared，after 4 d of surgery，the pain for 6 cases was disappeared. Conclusion For elderly patients with osteoporotic vertebral compression fracture，the nursing intervention and comprehensive nursing can improve the clinical effect and relieve the pain degree.

【Key words】Elderly patients with osteoporotic vertebral compression fracture，Nursing，Impact

腰椎发生压缩性骨折是较常发生于老年人群的疾病，临床由于骨折部位比较稳定，一般采用保守治疗与新型微创手术治疗［1］。临床治疗原则主要为将患者置于硬板床制动，在受伤背部垫软垫，为其取腰背后伸位。为了保证手术效果，加快伤病恢复，患者应在医生指导下及时开展康复锻炼。椎体成形术是目前临床治疗此种疾病常用方式之一，是属于微创手术的一种［2-3］。本文研究针对老年性骨质疏松性脊柱压缩性骨折患者，采用椎体后凸成型术治疗的护理体会，现报道如下。……