摘要
目的观察促红细胞生成素(EPO)作用于脊髓型颈椎病患者脊髓功能恢复状况,探讨护理干预对EPO应用于脊髓型颈椎病患者神经恢复的影响。方法将2010年5月—2011年10月间湖北医药学院附属东风医院脊柱外科收治的脊髓型颈椎病病例48例,随机分为对照组和干预组。对照组23例应用EPO行常规护理,干预组25例围手术期使用EPO,术后进行心理支持、家庭支持、体位护理,脊髓神经观察、肢体功能训练等护理干预,采用术前、术后1周、术后1年日本骨科协会(JOA)评分计算患者的神经功能恢复率。结果干预组护理干预后影像学提示颈椎植骨融合良好,内固定稳定无并发症。与术前相比,术后1周及1年JOA评分均显著增加,差异有统计学意义;与对照组比较,干预组改善率明显高于对照组(P<0.05)。结论对脊髓型颈椎病患者应用EPO进行护理干预,可明显促进脊髓型颈椎病患者术后神经功能的恢复。
[Objective]To observe the effect of erythropoietin（EPO） on spinal cord function recovery of patients with cervical spondylosis myelopathy,explore the influence of nursing intervention on the application effect of EPO.[Methods]48 patients with cervical spondylosis myelopathy,who were treated in Spinal Surgery Department ofDongfeng Hospital Affiliated to Hubei University of Medicine from May 2010 to October 2011,were randomly divided into the intervention group and the control group.The control group（23 cases） received EPO routine nursing care,and the intervention group（25 cases） was treated with EPO in perioperative period,and was given the postoperative nursing intervention,including psychological support,family support,posture nursing,spinal nerve observation and limb function training.JOA score before operation,1 week and 1 year after operation was adopted to evaluate the recovery rate of nerve function.[Results]In the intervention group,the imaging examination suggested that cervical interbody got well fusion after intervention,and internal fixation was stable without complication.JOA scores at 1 week and 1 year after operation were significantly higher than that before operation,and the improvement rate in the intervention group was significantly higher than that in the control group（P0.05）.[Conclusion]The nursing intervention of EPO can significantly improve the nerve function recovery after operation in patients with cervical spondylosis myelopathy.
出处
《职业与健康》
CAS
2013年第1期124-125,共2页
Occupation and Health
关键词
护理干预
促红细胞生成素
脊髓型颈椎病
Nursing intervention
Erythropoietin（EPO）
Cervical spondylosis myelopathy
