<strong>Objective: </strong>To explore the therapeutic effect of autologous blood reinfusion combined with controlled hypotension in surgical spinal fixation during the outbreak of COVID-19. <strong>...<strong>Objective: </strong>To explore the therapeutic effect of autologous blood reinfusion combined with controlled hypotension in surgical spinal fixation during the outbreak of COVID-19. <strong>Methods: </strong>30 patients with spinal internal fixation autologous blood transfusion combined with controlled hypotension were selected as the subjects during the epidemic period from December 2019 to June 2020 in our hospital and during the operation, on the basis of routine blood pressure reduction, the American Haemonetice Corporation autologous blood continuous reinfusion system was used to infuse the blood recovered during the operation to the patient through filtration and other procedures. <strong>Results:</strong> 30 patients had no complications such as fever and hemolysis;And after the operation, the tube was dialed according to the drainage volume, the cervical thoracic and lumbar brace was customized, and the patient walked on the ground for one week;After no abnormalities, the patient was discharged. Intraoperative comparison of white blood cells (WBC), red blood cells (RBC), red blood cell pressure (HCT), hemoglobin (HGB), and coagulation time (PT) of patients with autologous blood before and after transfusion showed statistically significant differences before and after surgery (P < 0.001). <strong>Conclusion:</strong> During the new coronavirus pneumonia epidemic, the internal fixation of spinal surgery used a recovery machine to collect intraoperative blood for reinfusion. Intraoperative antihypertensive drugs were used to control blood pressure within a certain safe range. The postoperative clinical observation effect was significant and safe;especially at present the clinical significance during the epidemic was significant.展开更多
Objective: to explore the application and observation of high-quality nursing after internal fixation of thoracolumbar multi-segment spinal fractures. Methods: one hundred and fourteen patients with thoracolumbar mult...Objective: to explore the application and observation of high-quality nursing after internal fixation of thoracolumbar multi-segment spinal fractures. Methods: one hundred and fourteen patients with thoracolumbar multi-segment spinal fractures treated in our hospital were selected as the research object. The time interval was {2019.6-2021.6}. The patients were divided into high-quality group and basic group by single and double number grouping method. The high-quality group was treated with high-quality nursing while the basic group was treated with routine nursing. The excellent fracture healing probability of the two groups was compared. The probability of complications was compared between the two groups. The scores of adverse psychological emotions were compared between the high-quality group and the basic group. Compare the nursing satisfaction between the high-quality group and the basic group. Results: the percentage of excellent and good rate in high-quality group was higher than that in basic group (P < 0.05). The probability of complications in high-quality group was lower than that in basic group (P < 0.05). The scores of bad psychological emotions in the high-quality group were lower than those in the basic group (P < 0.05). The nursing satisfaction of the high-quality group was higher than that of the basic group (P < 0.05). Conclusion: For patients with thoracolumbar multi-segment fractures, high-quality nursing after the fixation operation can adjust the patients bad mood and control the occurrence probability of complications, which is beneficial to the fracture healing of patients and is worthy of clinical application.展开更多
文摘<strong>Objective: </strong>To explore the therapeutic effect of autologous blood reinfusion combined with controlled hypotension in surgical spinal fixation during the outbreak of COVID-19. <strong>Methods: </strong>30 patients with spinal internal fixation autologous blood transfusion combined with controlled hypotension were selected as the subjects during the epidemic period from December 2019 to June 2020 in our hospital and during the operation, on the basis of routine blood pressure reduction, the American Haemonetice Corporation autologous blood continuous reinfusion system was used to infuse the blood recovered during the operation to the patient through filtration and other procedures. <strong>Results:</strong> 30 patients had no complications such as fever and hemolysis;And after the operation, the tube was dialed according to the drainage volume, the cervical thoracic and lumbar brace was customized, and the patient walked on the ground for one week;After no abnormalities, the patient was discharged. Intraoperative comparison of white blood cells (WBC), red blood cells (RBC), red blood cell pressure (HCT), hemoglobin (HGB), and coagulation time (PT) of patients with autologous blood before and after transfusion showed statistically significant differences before and after surgery (P < 0.001). <strong>Conclusion:</strong> During the new coronavirus pneumonia epidemic, the internal fixation of spinal surgery used a recovery machine to collect intraoperative blood for reinfusion. Intraoperative antihypertensive drugs were used to control blood pressure within a certain safe range. The postoperative clinical observation effect was significant and safe;especially at present the clinical significance during the epidemic was significant.
文摘Objective: to explore the application and observation of high-quality nursing after internal fixation of thoracolumbar multi-segment spinal fractures. Methods: one hundred and fourteen patients with thoracolumbar multi-segment spinal fractures treated in our hospital were selected as the research object. The time interval was {2019.6-2021.6}. The patients were divided into high-quality group and basic group by single and double number grouping method. The high-quality group was treated with high-quality nursing while the basic group was treated with routine nursing. The excellent fracture healing probability of the two groups was compared. The probability of complications was compared between the two groups. The scores of adverse psychological emotions were compared between the high-quality group and the basic group. Compare the nursing satisfaction between the high-quality group and the basic group. Results: the percentage of excellent and good rate in high-quality group was higher than that in basic group (P < 0.05). The probability of complications in high-quality group was lower than that in basic group (P < 0.05). The scores of bad psychological emotions in the high-quality group were lower than those in the basic group (P < 0.05). The nursing satisfaction of the high-quality group was higher than that of the basic group (P < 0.05). Conclusion: For patients with thoracolumbar multi-segment fractures, high-quality nursing after the fixation operation can adjust the patients bad mood and control the occurrence probability of complications, which is beneficial to the fracture healing of patients and is worthy of clinical application.
