摘要
目的分析康复护理在胸腰椎骨折合并脊髓损伤患者中的应用效果与对策。方法随机选定本院2016年1月~2018年1月收治的胸腰椎骨折合并脊髓损伤患者110例,以随机数字表法分为试验组与对照组,各55例。对照组采纳常规护理,试验组采纳康复护理。比较两组HAMD、HAMA评分、Botsford评分。结果试验组护理后HAMD评分、HAMA评分分别为(9.27±2.11)分、(16.34±4.86)分;对照组分别为(10.12±3.01)分、(17.86±4.17)分,试验组显著较对照组低,有统计学差异(t=9.8961、11.1614,P均<0.01)。试验组护理后膀胱功能、直肠功能、感觉以及总分分别为(3.25±0.58)分、(8.29±0.94)分、(7.69±0.84)分、(18.69±2.68)分;对照组分别为(1.98±0.39)分、(6.98±0.88)分、(5.68±0.74)分、(14.28±2.06)分(t=13.4757、7.5450、13.3158、9.6755,P均<0.01)。结论康复护理可有效改善患者的脊柱功能,调节心理状态,效果显著,值得借鉴。
Objective To analyze the effect and countermeasures of rehabilitation nursing in patients with thoracolumbar fracture combined with spinal cord injury.Methods A total of 110 patients with thoracolumbar fractures and spinal cord injury from January 2016 to January 2018 admitted to our hospital were randomly selected,all them were divided into the experimental group and the control group by random number table,55 cases in each group.The control group adopted routine care and the experimental group adopted rehabilitation care.The HAMD,HAMA score,Botsford score of two groups were compared.Results After nursing,the HAMD score,HAMA score were(9.27±2.11)and(16.34±4.86)in the experimental group and significantly lower than those in the control group which were(10.12±3.01)and(17.86±4.17)in the control group,the difference was statistical significance(t=9.8961,11.1614,P<0.01).The bladder function,rectal function,sensation and total score of the experimental group were(3.25±0.58)score,(8.29±0.94)score,(7.69±0.84)score,and(18.69±2.68)score,respectively.And in the control group were(1.98±0.39)score,(6.98±0.88)score,(5.68±0.74)score,and(14.28±2.06)score,respectively,the difference was statistical significance(t=13.4757,7.5450,13.3158,and 9.6755,P<0.01).Conclusion Rehabilitation nursing can effectively improve the spine function of patients and regulate their mental state.The effect is remarkable and worth learning.
作者
王丹丹
WANG Dandan(Department of Arthrospinal Surgery,Second Affiliated Hospital of Medical College of Shantou University,Shantou 515041,China)
出处
《中国医药科学》
2019年第19期129-131,共3页
China Medicine And Pharmacy
关键词
康复护理
胸腰椎骨折
脊髓损伤
心理状态
Rehabilitation nursing
Thoracolumbar fracture
Spinal cord injury
Mental state
