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1、经皮椎体后凸成形术治疗骨质疏松椎体压缩性骨折的护理体会［摘要］目的探讨经皮椎体后凸成形术(卩KP)治疗骨质疏松椎体压缩性骨折的护理措施。方法对浙江省台州市黄岩中医院口2010年1月〜2012年12月收治的86例骨质疏松椎体压缩性骨折患者实行PKP治疗。比较护理前后患者的视觉模拟评分法(VAS)评分、Barthel指数、光距尺灯(0DI).椎体变高程度、Cobb角度等各项指标。结果手术护理前，VAS评分为(&1土1.5)分，Barthel指数为(52・0±4.2),0DI为(73.4±5.1),椎体前部变高(
2、22.1±3.5)mm,椎体中部变高(23.2土3.8)mm,Cobb角度为(19.3±2.4)°o手术护理后，VAS评分为(1・9±0.3)分,Barthel指数为(83.2±6.4),0D［为(22・3土2・9),椎体前部变高(23.8±2.7)mm,椎体中部变高(24.0土2.1)mm,Cobb角度为(12.7±3.3)°。患者手术护理前后在VAS评分、Barthel指数、ODT、椎体变高程度、Cobb角度等各项指标的比较上，差异均有统计学意义(均P<0.05)o结论合理有效的护理是PKP治疗骨质疏松
3、椎体压缩性骨折患者手术成功的重要基础，能够有效地促进患者术后的康复，提高患者的生活质量。［关键词］经皮椎体后凸成形术；骨质疏松；压缩性骨折;护理［中图分类号］R687.3［文献标识码］C［文章编号］1673-7210(2014)02(c)-0124-04NursingexperienceofPKPintreatmentofosteoporosisvertebralcompressionfracturesJIANGLingzhulQUANRenfu21.DepartmentofOrthopedics,Huan
4、gyanHospitalofTraditionalChineseMedicineinTaizhouCity,Zhejiang卩rovinee,Taizhou318020,China；2.DepartmentofOrthopedics,XiaoshanDistrictHospitalofTraditionalChineseMedicineinHangzhouCity,ZhejiangProvince,Hangzhou311201,China[Abstract]ObjectiveToexplorethenurs
5、ingmeasuresofpercutaneouskyphoplasty(卩K卩)intreatmentofosteoporosisvertebralcompressionfractures・Methods86patientswithosteoporosisvertebralcompressionfracturesinHuangyanHospitalofTaditionalChineseMedicineinTaizhouCityofZhejiangProvincefromJanuary2010toDecem
6、ber2012performedPKPtreatmentwereselected.Visualanaloguescore(VAS)score,Barthelindex,opticaldistanceindicator(0DI),thedegreeofheightofvertebralbodiesandCobbanglewerecomparedbeforeandafternursing.ResultsBeforesurgerynursing,VASscorewas(8.1±1・5)score,Bartheli
7、ndexwas(52・0±4・2),0DIwas(73.4±5.1),feinteriordepartmenthigherwas(22.1+3.5)mm,centralvertebralbodieshigherwas(23.2±3.8)mm,Cobbanglewas(19.3±2.4)°.Aftersurgerynursing,VASscorewas(1.9+0.3)score,Barthelindexwas(83>2+6.4),ODTwas(223±2.9),fanteriordepartmenthigh
8、erwas(23.8+2.7)mm,centralvertebralbodieshigherwas(24.0+2.1)mm,Cobbanglewas(12・7±3・3)°・TherewereallstatisticallysignificantdifferencesinVASscore,Barthelindex,ODT,higherdegreeofvertebralbodiesandCobbanglebefore
