池晓兰

摘要目的：探讨早期康复护理在改善腰椎骨折患者腰椎功能及睡眠质量中的作用。方法：选取2017年8月至2018年7月厦门市中医院收治的腰椎骨折患者70例作为研究对象，随机分为对照组和观察组，每组35例。对照组进行常规护理，观察组在常规护理基础上实施早期康复护理。比较2组护理前后的腰椎功能[腰椎功能评分（JOA）]、疼痛[视觉模拟评分法（VAS）]、匹兹堡睡眠质量指数（PSQI）及生命质量评分。结果：护理后观察组的JOA评分及生命质量评分显著高于对照组，VAS评分及PSQI评分显著低于对照组，差异均有统计学意义（P<005）。结论：早期康复护理干预可显著改善腰椎骨折患者的腰椎功能、生命质量及睡眠质量，减轻疼痛程度，值得临床应用推广。

关键词早期康复护理;腰椎骨折;腰椎功能;睡眠质量;疼痛;生命质量

Study on the Improvement Effect of Early Rehabilitation Nursing for Lumbar Vertebral Function and Sleep of Patients with Lumbar Vertebral Fracture

CHI Xiaolan

（Traditional Chinese Medicine Hospital of Xiamen City in Fujian Province，Xiamen 361000，China）

AbstractObjective：To explore the role of early rehabilitation nursing in improving lumbar vertebral function and sleep quality of patients with lumbar fractureMethods：A total of 70 patients with lumbar vertebral fracture in Traditional Chinese Medicine Hospital of Xiamen City from August 2017 to July 2018 were randomly divided into control group and observation group with 35 cases in each groupThe control group were with routine nursing，while the observation group were with early rehabilitation nursing on the basis of routine nursingThe lumbar vertebral function[lumbar vertebral function score（JOA）]，pain[visual analogue scale（VAS）] and [Pittsburgh sleep quality index（PSQI scale）] before and after the nursing，quality of life score of two groups were comparedResults：The JOA score and quality of life score of observation group after the nursing were significantly higher than those of control group，VAS score and PSQI score were significantly lower than those of control group，there were statistically significant differences（P<005）Conclusion：The early rehabilitation nursing intervention can significantly improve the lumbar function，quality of life and sleep quality of patients with lumbar fracture，reduce the degree of pain，so it is worthy of clinical application and promotion.

KeywordsEarly rehabilitation nursing;Lumbar vertebral fracture;Lumbar vertebral function;Sleep quality;Pain;Life quality

中圖分类号：R4736文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.045

腰椎骨折大多为患者由高处跌落时臀部或足部着地，冲击性外力向上传至胸腰段发生骨折，部分患者主要由压伤、撞伤、火器伤等直接外力引起。临床多采用手术进行治疗，可改善患者临床症状，但术后易出现感染、断钉、脊柱侧弯等不良反应，不仅会影响治疗效果，还会降低生命质量，有效的护理干预可改善患者预后，降低术后不良反应的发生，改善患者生命质量[1]。本研究通过分析患者临床资料，探讨早期康复护理干预的临床效果，现报道如下。

1资料与方法

11一般资料选取2017年8月至2018年7月厦门市中医院收治的腰椎骨折患者70例作为研究对象，随机分为对照组和观察组，每组35例。对照组中男20例，女15例，年龄26～70岁，平均年龄（4800±338）岁，致伤原因：高处坠落11例，意外事故10例，其他14例。……