并发症关注环节前移在急诊胸腰椎骨折围术期中的应用
Application of advanced attention to complications in the perioperative period of emergency thoracolumbar fractures
汪维平 1胡善萍 1程圆圆 1汪丹丹1
作者信息
- 1. 中国人民解放军海军安庆医院骨外科,安徽安庆 246003
- 折叠
摘要
目的:探究并发症关注环节前移在急诊胸腰椎骨折患者围术期管理中的应用.方法:本研究纳入 2020年 1 月至 2023 年 3 月间 79 例急诊胸腰椎骨折患者,随机分为两组,分别实施常规护理(对照组 40 例)和并发症关注前移护理(试验组 39例),比较两组多项指标.结果:两组手术时间、出血量和排气时间无显著差异(P＞0.05).相较于对照组,试验组住院时间更短,并发症发生率显著降低(P＜0.05).护理后,两组JOA评分及总分均提高,但试验组更高(P＜0.05);同样,Barthel 指数评分及总分均上升,试验组亦优于对照组(P＜0.05).结论:并发症关注前移管理对急诊胸腰椎骨折患者可减少并发症、缩短住院、改善功能及提升生活能力,值得推广.
Abstract
Objective:To explore the application of advancing the focus on complications in perioperative management of emergency thoracolumbar spine fracture patients.Method:This study included 79 emergency thoracolumbar fracture patients from January 2020 to March 2023,who were randomly divided into two groups and received routine care(control group of 40 cases)and advanced care for complications(experimental group of 39 cases),respectively.Multiple indicators were compared between the two groups.Results There was no significant difference in surgical time,bleeding volume,and exhaust time between the two groups(P>0.05).Compared to the control group,the experimental group had a shorter hospital stay and a significantly lower incidence of complications(P<0.05).After nursing,both groups showed an improvement in JOA scores and total scores,but the experimental group had a higher score(P<0.05);Similarly,the Barthel index score and total score both increased,and the experimental group was superior to the control group(P<0.05).Conclusion:Forward management of complications can reduce complications,shorten hospitalization,improve function,and enhance living abilities in emergency patients with thoracolumbar fractures.It is worth promoting.
关键词
胸腰椎骨折/急诊/并发症关注环节前移护理/围术期管理Key words
Thoracolumbar vertebral fracture/Emergency/Nursing based on moving the focus on complications forward/Perioperative management引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据