摘要目的 探究骨质疏松性椎体压缩骨折的手术治疗与护理效果.方法 选取该院骨质疏松性椎体压缩骨折患者60例,按照随机数字表法分为观察组和对照组各30例.对照组采用单侧椎体成形术和常规护理,观察组采用单侧椎体成形术和序贯护理.观察干预前后患者腰椎功能( JOA)评分、视觉模拟( VAS)评分、住院时间、并发症发生率和患者满意度.结果 治疗后,两组患者JOA评分和VAS评分均较治疗前明显改善,且观察组改善程度明显优于对照组,差异均有统计学意义(均P<0. 05) .观察组临床疗效明显优于对照组,差异均有统计学意义(P<0. 05).两组住院时间的比较,差异有统计学计意义(P<0. 05).两组并发症发生率的比较,差异有统计学意义(P<0. 05).结论 序贯护理有助于改善单侧椎体成形术治疗骨质疏松性椎体压缩骨折患者JOA、VAS评分,缩短住院时间,降低并发症发生率,提高患者满意度,优于常规护理.

abstractsObjective To explore the surgical treatment and nursing effect of the vertebral body compression fracture caused by osteoporosis. Methods A total of 60 patients with osteoporotic vertebral compression fractures were selected. According to the random number table method, they were divided into observation group and control group, 30 cases of each group. The control group received unilateral vertebroplasty and routine nursing, while the observation group received unilateral vertebroplasty and sequential nursing. The lumbar function ( Japanese Orthopaedics Associa▔tion, JOA) score, visual analogue scale ( VAS), length of hospital stay, complication rate and patient satisfaction were observed before and after intervention. Results After treatment, the JOA score and VAS score of both groups were significantly improved compared with those before treatment, and the improvement in the observation group was better than that in the control group, and the differences were statistically significant (P<0. 05) . The clinical efficacy of the observation group was significantly better than that of the control group, and the difference was statistically signifi▔cant ( P<0. 05) . The difference of hospitalization time between the two groups was statistically significant ( P<0. 05) . The incidence of complications between the two groups was statistically significant ( P<0. 05) . Conclusions Sequen▔tial nursing is helpful to improve JOA, VAS score of patients with osteoporosis vertebral compression fracture treated by unilateral vertebroplasty, shorten the hospitalization time, reduce the incidence of complications, and improve patient satisfaction, which is better than conventional nursing.