目的:探讨营养支持干预与快速康复护理模式对老年股骨骨折手术患者营养风险筛查评分、髋关节功能、并发症的影响。方法:选取我院2020年2月-2021年3月收治的51例老年股骨骨折手术患者作为本次观察对象,根据患者治疗时间进行分组,其中2020年2月-2020年8月治疗的患者为对照组( n=25 ) ,采用常规护理干预;2020年9月-2021年3月治疗的患者为观察组( n=26 ) ,实施营养支持干预与快速康复护理模式。对比2组患者营养风险筛查评分[营养风险筛查( NRS2002 ) ]、髋关节功能( Harris评分量表)、并发症(下肢静脉血栓、切口感染、泌尿系统感染)发生情况及护理满意度。结果:护理干预4周后,观察组患者营养风险筛查评分低于对照组患者( P<0. 05 );观察组患者髋关节功能评分高于对照组( P<0. 05 );观察组患者治疗期间发生并发症总发生率为7. 70%,明显低于对照组的36. 00%, 2 组对比具有统计学差异( P <0. 05 );同时,观察组患者总满意度为92. 31%,高于对照组的68. 00%,2组对比具有统计学差异( P<0. 05 )。结论:对老年股骨骨折手术患者积极采取营养支持干预与快速康复护理模式,满足患者日常营养需求,进而帮助患者早日恢复髋关节功能,减少其并发症发生概率,故能获得较高满意度评分。
To investigate the clinical efficacy of intramedullary nail fixation and plate fixation of tibial fractures through the parapatellar approach, and to provide reference for the selection of surgical schemes for such fractures. Methods: The study was based on a prospective perspective, with internal fixation as the main body of the study. Referring to the traditional open reduction and plate internal fixation technology, the best surgical fixation method was discussed. For this purpose, 88 samples were designed, all from patients with tibial fractures treated in our unit from June 2021 to may 2022. The study was divided into groups by random number table, of which 44 cases in the study group were treated with intramedullary nailing through the parapatellar approach;44 cases in the control group were treated with traditional steel plate internal fixation;The reduction effect, ankle mobility loss, complications and postoperative quality of life (SF-36) were compared between the two groups. Results:the radiation of the study group was significantly less than that of the control group, the operation time was longer than that of the control group, the intraoperative blood output was lower than that of the control group, and the fracture healing and hospitalization time were shorter than that of the control group (P < 0. 05). There was signif-icant difference in the incidence of complications between the two groups. The incidence in the study group was significantly lower ( P <0. 05). There was no significant difference in the pain score between the two groups before operation (P > 0. 05). The pain score of the study group was significantly lower than that of the control group 24 hours and 3 days after operation (P < 0. 05);The range of motion of the knee joint in the study group at 1 and 3 months after operation was greater than that in the control group (P < 0. 05);There was no significant difference in the range of motion of knee joint between the two groups at 6 and 12 months after operation (P > 0. 05);Ly-sholm score and IKDC score in the study group were higher than those in the control group at 1 and 3 months after operation ( P <0. 05) , and there was no significant difference in knee function score between the two groups at 6 and 12 months after operation ( P >0. 05). Conclusion:compared with traditional steel plate internal fixation, parapatellar intramedullary nail fixation of tibial fractures has a significant effect, which can effectively improve joint function, with less trauma and complications, promote its rapid rehabilitation, high safety, and has a good clinical application prospect.
分析经微型钛板开展坚固内固定对颌骨骨折的疗效。 方法:选取我院2019 年1 -12 月收治的颌骨骨折78例病患为研究对象,依据随机数表法划分成对照组(经不锈钢丝开展骨间结扎和内固定)与观察组(经微型钛板开展坚固内固定) ,各39例,比较2组治疗后的优良率、口腔恢复指标、影像学指标、牙周状态指标、口腔功能评分以及并发症情况。结果:观察组的治疗优良率高于对照组(P<0. 05);观察组的张口度正常、颞颌关系功能及咬颌关系良好比例高于对照组(P<0. 05);观察组术后AF-BF距、AXB角及口腔功能评分高于对照组(P<0. 05);观察术后菌斑指数、软垢指数以及牙龈指数均低于对照组(P<0. 05);观察组术后口腔功能评分高于对照组(P<0. 05);观察组的并发症发生率少于对照组(P<0. 05)。结论:经微型钛板开展坚固内固定对颌骨骨折疗效确切,有助于患者口腔功能恢复,改善其术后牙周状态,且并发症较少,值得采用。
To explore the application value of high-quality operating room nursing cooperation in elderly patients with knee meniscus injury;Methods:78 elderly patients with knee meniscus injury who received surgical treatment in our hospital from July 2017 to May 2022 were selected as the study objects. They were divided into the study group (n=39, receiving high-quality operating room care) and the control group ( n=39, receiving regular operating room care) according to the random number table method. The differences in postoperative pain, Ramsay sedation scores, postoperative oxidative stress indicators, preoperative and postoperative CD4+The level of CD8+was different. According to statistics, the incidence of perioperative complications was different in the two groups;Re-sults:The VAS scores of patients in the study group at 4h, 6h, 12h and 24h postoperatively were lower than the corresponding scores in the control group (P<0. 05);the SOD levels of patients in the study group at 1d postoperatively were higher than those in the control group, and the MDA levels were lower than those in the control group ( P<0. 05 ); there was no difference between the two groups in terms of CD4+ and CD8+ levels before surgery (P>0. 05), and the CD4+ and CD8+ levels were significantly higher than those in the con-trol group, and the CD4+ levels decreased and CD8+ levels increased in both groups after surgery (P<0. 05);one case of perioperative delirium occurred in the study group, and the total complication rate was 2. 56% ( 1/39 ) , which was significantly lower than that of 15. 38% (6/39) in the control group (P<0. 05);patients in both groups had preoperative knee function There was no difference in the preoperative knee function scores and knee mobility at 7 days after surgery between the two groups ( P>0. 05 ) , and the knee function scores and knee mobility in the observation group were higher than the corresponding index scores in the control group at 3 months after surgery (P<0. 05). Conclusion:High quality operating room nursing for elderly patients with knee meniscus injury is helpful to improve their postoperative pain, alleviate their postoperative oxidative stress and inflammatory status, and also helps to reduce the incidence of various postoperative complications, which has a certain value for promotion.
对中频药物导入治疗神经根型颈椎病(风寒湿型)的临床疗效进行研究。 方法:选取我院康复医学科2020年11月-2022年10月就诊的60例神经根型颈椎病(风寒湿型)患者随机分为观察组和对照组,各30例,观察组采用中频药物导入(川乌提取物)治疗,对照组采用常规中频电疗。2组治疗均为每天1次,1周6次,共治疗2周。治疗前后比较2组患者NDI(颈椎功能障碍指数)评分、VAS(视觉模拟) 评分、中医证候(风寒湿型)评分、综合临床疗效(显效,有效,无效)、血清白介素-1β( IL-1β)、核因子κB(NF-κB)、白介素-6( IL-6) 水平变化,分析疗效差异。结果:总有效率,观察组为90. 0%,优于对照组的76. 7%(P<0. 05);2组NDI评分、VAS评分、中医证候评分,治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0. 05),观察组优于对照组;治疗后,2组神经根型颈椎病患者血清IL-1β、NF-κB、IL-6 水平均降低,且观察组低于对照组(P<0. 05)。结论:2种治疗手段对神经根型颈椎病患者均有一定疗效,但中频药物导入(川乌提取物)的疗效要优于常规中频电疗。
随着人口老龄化的发展与体检意识的普及,国内外前列腺癌的发病率都明显上升,特别是在部分地区的发生率已经位居男性恶性肿瘤的前 5 之列[1]。由于相关因素的影响,前列腺癌当前在临床上比较常见,多发生于中老年男性,很多前列腺癌患者在就诊时已处于中晚期,伴随有肿瘤转移情况,其中有超过70. 0%的中晚期前列腺癌患者伴随骨转移,前列腺癌骨转移会增加患者的疼痛感,导致致残率一直比较高,降低患者的生存质量,且死亡率一直居高不下,已经成为了一种公共卫生疾病。前列腺癌骨转移在临床上主要表现为癌性疼痛,也可伴随有高钙血症、脊髓压迫、活动性功能障碍、病理性骨折,对于护理的要求非常高[2]。同时现代护理要求在有效利用医疗资源和改善护理质量的基础上,不断优化护理服务和保障系统,缩短患者住院时间,减少患者的住院成本,促进患者康复。人性化护理及阳光服务通过分析患者的护理需求,通过制定合理、规范化的护理服务,促进患者护理的连续性及安全性,有利于改善患者预后[3]。本文论述前列腺癌骨转移患者的常见护理问题,总结了人性化护理及阳光服务在前列腺癌骨转移患者的应用进展:个案管理、疼痛管理、聚焦解决模式、延续性护理、并发症预防护理。希望为临床上合理选择护理方法提供参考。现综述如下。
探讨临床护理路径在踝关节骨折患者术后的应用效果。 方法:观察对象为我院2018 年10 月-2020 年8 月收治的80例踝关节骨折患者,将其随机分为2组,对照组和观察组,每组40例,分别实施常规护理和临床护理路径,比较2组关节恢复情况、SAS、SDS评分、踝-后足功能评分、疼痛评分与护理满意度。结果:观察组患者的社会功能、自理情况、行动情况与括约肌控制等关节恢复情况明显优于对照组,组间差异明显(P<0. 05);2组护理前SAS、SDS评分无统计学差异(P>0. 05),护理后,观察组患者的SAS、SDS评分明显比对照组低,组间差异明显(P<0. 05);2组护理前踝-后足功能评分与疼痛评分无统计学差异(P>0. 05),护理后,观察组患者的踝-后足功能评分明显比对照组高,疼痛评分明显比对照组低,组间差异明显(P<0. 05);观察组患者的护理满意度为95. 00%,对照组患者的护理满意度为80. 00%,观察组患者的护理满意度明显高于对照组,组间差异明显(P<0. 05)。结论:在踝关节骨折患者术后应用临床护理路径,可促进患者康复,缓解患者的不良情绪,让患者更满意护理工作,值得临床推广应用。
探讨与分析危机管理结合一体化急救模式对缺血性脑卒中患者预后的影响。 方法:选择我院重症监护病房2020年5月-2022年6月急救的缺血性脑卒中患者72例作为研究对象,根据随机简单分配原则把患者分为观察组36例与对照组36例。所有患者急救治疗采用重组组织型纤溶酶原激活剂静脉溶栓,对照组给予常规急救护理,观察组在对照组护理的基础上给予危机管理结合一体化急救模式护理,记录与判定患者的预后变化情况。结果:观察组急救后28 天的总有效率为100. 0%,与对照组的88. 9%相比,有显著增加(P<0. 05);2组急救后72小时的APACHEⅡ评分均显著低于急救前(P<0. 05),且观察组急救后72小时的APACHEⅡ评分与对照组相比,也显著降低(P<0. 05);观察组的重症监护病房住院天数与普通病房住院天数都显著少于对照组(P<0. 05);观察组急救后28天的护理满意度为100. 0%,与对照组的86. 1%相比,有显著提高(P<0. 05)。结论:危机管理结合一体化急救模式在缺血性脑卒中患者中的应用能提高急救效果,降低患者的APACHE Ⅱ评分,也可缩短患者的重症监护病房住院天数与普通病房住院天数,提高患者的护理满意度。
To evaluate the value of multislice spiral CT in the diagnosis of subtle and occult fractures of the foot, and to provide reference for orthopedics diagnosis. Methods:a total of 80 patients with subtle and occult fractures of the foot admitted to the or-thopedics department of our hospital from February to December 2020 were selected. All patients underwent multi-slice spiral CT and Dr plain film examination, which were reviewed and approved by the hospital ethics committee. The diagnostic rate, missed diagnosis rate, suspicious rate and fracture location of patients with subtle and occult foot fractures were compared. Results: in terms of diagnostic re-sults, the diagnostic rate of multislice spiral CT was 97. 50% significantly higher than that of Dr plain film (P<0. 05), the missed diag-nosis rate was 1. 25% and the suspicious rate was 1. 25% significantly lower than that of Dr plain film (P<0. 05);In terms of fracture location, Dr plain film examination could not clearly judge the fracture location and multiple fractures of the patient. Among the patients with subtle and occult foot fractures diagnosed by multi-slice spiral CT, there were many metatarsal fractures, and the rest included cu-neiform bone, talus, navicular bone, cuboid bone and calcaneus. Conclusion:Multislice spiral CT can effectively detect subtle and oc-cult fractures of the foot, and provide valuable reference for orthopedic treatment.
To compare and analyze the diagnostic value of CT and X-ray in the examination of occult fractures of the ac-etabulum. Methods:A total of 116 patients with occult acetabular fractures who were treated in our hospital from January 2019 to Januar-y 2021 were selected. All patients received CT and X-ray examinations, and the diagnostic accuracy rates of the two examination meth-ods were compared. Results:The diagnostic coincidence rate of CT plain scan in the diagnosis of hidden trauma acetabular fracture, hid-den intraosseous acetabular fracture, fatigue fracture and failure fracture was significantly higher than that of X-ray ( P<0. 05 ) . The fracture sites of 116 patients included 41 cases of acetabular forearm, 25 cases of acetabular posterior wall, 14 cases of acetabular anterior column, 16 cases of acetabular posterior column, 12 cases of acetabular roof wall, and 8 cases of acetabular middle wall. The coinci-dence rate of the type was significantly higher than that of the plain film (P<0. 05). Conclusion:CT plain scan has better effect in the diagnosis of occult fractures of the acetabulum, which can clearly show the direction of fracture displacement, and provide sufficient refer-ence for the later clinical treatment of patients, which is conducive to promoting the clinical prognosis of patients.
To discuss the effect of acupoint application combined with multi-dimensional nursing on the rehabilitation of elderly patients after total knee replacement. Methods:90 elderly patients who underwent total knee arthroplasty in Shan County Hospital of Traditional Chinese Medicine from June 2020 to June 2022 were selected as the research objects. They were divided into two groups ac-cording to different nursing methods, the control group and the observation group, with 45 cases in each group. The control group re-ceived routine nursing, while the observation group received acupoint application combined with multi-dimensional nursing on the basis of the control group. The recovery of gastrointestinal function, the degree of lower limb pain, the degree of knee swelling and the change of knee joint function were observed in the two groups, and the nursing satisfaction was compared. Results:The recovery time of bowel sounds, the time of first exhaust and first defecation in the observation group were shorter than those in the control group (P<0. 05);At 3 days and 1 week after operation, the pain score of lower limbs in the observation group was lower than that in the control group, and the degree of knee swelling was significantly lighter than that in the control group (P<0. 05);The KSS score of the two groups after nursing was significantly higher than that before nursing, and the total clinical score and total functional score of KSS in the observation group were higher than those in the control group (P<0. 05); The satisfaction rate of postoperative nursing in the observation group was 95. 56%, which was significantly higher than that in the control group (82. 22%, P<0. 05). Conclusion:Acupoint application combined with multi-dimensional nursing can effectively shorten the recovery time of gastrointestinal function of elderly patients after total knee re-placement, reduce the degree of pain and swelling, improve the knee joint function of patients, and improve nursing satisfaction.
探讨不稳定型桡骨远端骨折(DRF)患者进行切开复位钢板螺钉内固定治疗的临床效果。 方法:参与到本次研究的患者均为我院2021年5月-2022年5月收治的DRF患者106例,将电脑抽样法作为标准将所有患者分配到2个研究小组中,实施不同的治疗方法,观察组(53例)进行切开复位钢板螺钉内固定,对照组(53例)进行闭合复位外固定,对比2组手术及恢复效果。结果:与对照组患者相比较,观察组患者术中出血量更多,手术时间、住院时间更长,骨折愈合时间更短,呈统计学意义(P<0. 05);在临床效果方面,观察组患者的治疗优良率更高,为92. 45%,与对照组的77. 36%相比较,差异有统计学意义(P<0. 05);在腕关节活动度方面,术前2组患者的掌屈、背伸、桡偏对比无差异(P>0. 05),但是术后3个月观察组患者的3项指标水平均高于对照组,差异有统计学意义(P<0. 05),且术后3个月观察组患者的桡骨短缩小于对照组,尺偏角和掌倾角大于对照组,差异有统计学意义(P<0. 05);在术后相关并发症方面,观察组患者总发生率更低,仅为5. 66%,与对照组的18. 87%相比较,差异有统计学意义(P<0. 05)。结论:DRF患者在临床治疗中切开复位钢板螺钉内固定术,尽管手术时间长、出血多,但是骨折愈合速度快、并发症少,腕关节功能和活动度恢复效果更理想,所以在临床中值得推广应用。
To observe the preventive effect of rapid rehabilitation nursing mode on postoperative delirium in elderly pa-tients with intertrochanteric fracture during perioperative nursing. Methods:74 elderly patients with intertrochanteric fracture were in-cluded in our hospital. According to the order of admission time, they were divided into control group and observation group. The total number of cases in each group was 37. The control group implemented the routine perioperative nursing mode, and the observation group carried out the rapid rehabilitation nursing mode on this basis, and compared the incidence of postoperative delirium, rehospitalization rate and nursing effect related indicators between the two groups. Results: the incidence of postoperative delirium and rehospitalization rate in the observation group were lower than those in the control group, the scores of anxiety, depression and pain after nursing were low-er than those in the control group, and the scores of cognitive function were higher than those in the control group (P < 0. 05). Conclu-sion:the implementation of rapid rehabilitation nursing mode in the perioperative period of the elderly patients with intertrochanteric frac-ture can significantly reduce the incidence of postoperative delirium and the rate of rehospitalization, improve negative emotions, reduce pain and prevent further damage to cognitive function, which is worthy of promotion.
探究采用协作护理干预对老年髋部骨折患者术后日常生活能力、髋关节功能的影响。 方法:选择我院2020年2月-2021年2月进行髋部骨折手术治疗的78例老年患者作为研究对象,利用摸球法将患者分成观察组( n=39 )和对照组(n=39),对照组采用骨科手术常规护理,观察组采用常规护理与协作护理。比较2组治疗前、后1周的焦虑自评量表(SAS)、抑郁自评量表( SDS)、髋关节功能( Harris)、日常生活能力( Barthel)评分,观察2组患者干预后的依从性和术后并发症情况。结果:观察组干预后1 周的SAS、SDS评分均低于对照组( P<0. 05 );观察组治疗后1 周的Harris、Barthel评分均高于对照组( P<0. 05);观察组干预后的依从性高于对照组(P<0. 05);观察组干预后的并发症总发生率低于对照组(P>0. 05)。结论:对老年髋部骨折患者采用协作护理可改善其不良情绪和髋关节功能,依从性得以提升,术后并发症风险降低,提高患者的日常生活能力。
探究在小儿骨折术后功能锻炼中舒适护理的应用效果。 方法:在本次研究中选入我院2021 年5 月-2022年5月进行手术治疗的98例小儿骨折患儿,进行随机数字表法分组护理,观察组和对照组,各49例,在术后功能锻炼中分别实施舒适护理、常规护理,对比2组康复效果。结果:观察组术后康复总有效率为93. 88%,远高于对照组的79. 59%,统计学意义成立(P<0. 05);观察组患儿护理后患肢关节功能评分和活动角度均远高于对照组,统计学意义成立(P<0. 05);观察组患儿护理后的舒适度评分高于对照组,疼痛评分低于对照组,统计学意义成立( P<0. 05 );观察组患儿生活质量评分高于对照组,统计学意义成立(P<0. 05)。结论:小儿骨折术后功能锻炼中应用舒适护理,有助于减轻疼痛程度、提高舒适度,改善患肢关节功能和活动度,达到更好的康复效果和生活质量,值得全方位推广。
To investigate the effects of Esketamine combined iliofascia nerve block on postoperative cognitive function in elderly patients with femoral neck fracture. Methods:A total of 80 elderly patients with femoral neck fracture were randomly divided into Esketamine group and control group with 40 cases in each group. Total hip replacement was performed in the control group. Before anes-thesia, the control group was given iliac fascia nerve block 0. 357% 20ml, followed by the same volume of normal saline, and then com-bined lumbar and epidural anesthesia. Esketamine group was given iliofascial nerve block 0. 357% 20ml, followed by intravenous Esket-amine 0. 125mg/kg, and then combined epidural anesthesia. When necessary, small doses of propofol and sufentanil were given to assist sedation and analgesia. The intraoperative propofol dosage, sufentanil dosage, anesthesia time, operation time, intraoperative blood loss and length of hospital stay were compared between the two groups. The numerical pain scale ( NRS) score at different postoperative times, cognitive function and early recovery quality were compared, and the incidence of complications were compared between the two groups. Results:There were no significant differences in anesthesia time, operation time and intraoperative blood loss between the two groups (P>0. 05). The intraoperative dosage of propofol, sufentanil and hospital stay in Esketamine group were significantly lower than those in control group (P<0. 05). There was no significant difference between the two groups in NRS score at 1h postoperative activity and NRS score at resting (P>0. 05), but NRS score at 1h to 4h postoperative activity and NRS score at resting increased and NRS score at 4h to 8h postoperative, 12h postoperative, 24h postoperative and 48h postoperative activity and NRS score at resting decreased. Esket-amine group was lower than control group (P<0. 05);There was no significant difference between the Mini-Mental State Examination ( MMSE) score and the Postoperative Recovery Quality Scale ( QOR-15 ) score 1 day before surgery between the two groups ( P >0. 05), and the MMSE score and QOR-15 score of the two groups decreased 1 day after surgery, but increased 3 days after surgery. Es-ketamine group was higher than control group (P<0. 05);The complication rate of esketamine group was significantly lower than that of control group (P<0. 05). Conclusions: Esketamine combined iliofascial nerve block has a good effect on elderly patients with femoral neck fracture, which can reduce intraoperative anesthetic dosage, reduce postoperative pain, reduce cognitive function injury, promote early recovery of patients, and reduce the occurrence of complications.
对腰椎间盘突出的诊断方式进行分析,重点讨论 MRI 与 CT 诊断的效果。 方法:将我院2020 年1 月-2021年6月收治的70例腰椎间盘突出患者作为此次研究对象,对所有患者分别实施2种检查方案,即为CT诊断组和MRI诊断组,对比诊断效果。结果:从数据可见,MRI对腰椎间盘突出的检出率高于CT,差异具有统计学意义(P<0. 05);在对比腰椎间盘脱出和腰椎间盘突出的诊断中,可见,MRI检查下的准确率、特异度和灵敏度均高于CT组,但是不具有统计学意义(P>0. 05)。结论:针对腰椎间盘突出患者,为其实施MRI与CT诊断能够分析椎间盘钙化、积气征象等情况,在检查中可优先选择MRI诊断方式,必要时辅助CT检查,进一步提升诊断准确率。
探究交通骨伤患者实施优化急救护理流程,提升抢救效果。 方法:将我院2020 年1 月-2021 年6 月收治的交通骨伤患者110例作为此次研究对象,按治疗措施的不同均分为对照组、观察组,各55例。对照组为常规急救护理,观察组为优化急救护理流程,对比急救效果。结果:从数据可见,观察组患者抢救时间短于对照组,具有统计学意义( P<0. 05 );观察组患者在焦虑情绪和抑郁情绪的得分对比中低于对照组,差异显著(P<0. 05);同时,抢救满意度对比中,观察组高于对照组,差异显著(P<0. 05);最后,观察组急救护理质量评分高于对照组,对比差异大,具有统计学意义(P<0. 05)。结论:针对交通骨伤患者,为其实施优化急救护理流程,有助于缩短抢救用时,提升管理综合水平,提升了护理满意度,具备一定推广、应用价值。
Study and analyze the difference between lumbar plexus sciatic nerve block anesthesia and combined spinal epidural anesthesia in patients undergoing knee replacement surgery. Methods:68 patients with knee arthroplasty were randomly divided into the observation group and the control group (34 cases in each group). The control group received combined spinal epidural anesthe-sia and the observation group received lumbar plexus sciatic nerve block anesthesia. The anesthetic effects of the two groups were com-pared. Results:The operation preparation time and the first postoperative urination time in the observation group were significantly shor-ter than those in the control group (P;20min after anesthesia, The heart rate and mean arterial pressure in the observation group were significantly higher than those in the control group (P<0. 05);There was no adverse reaction in the observation group (0. 00%), and the adverse reaction rate in the control group (26. 47%). There was significant difference between the two groups (P<0. 05);The onset time of motor and sensory nerve block in the study group was shorter than that in the control group (P<0. 05), and the recovery time was longer than that in the control group (P<0. 05). Conclusion: The advantages of lumbar plexus sciatic nerve block anesthesia in knee arthroplasty are significantly greater than those of combined spinal epidural anesthesia. It has the advantages of rapid onset, rapid postop-erative recovery of consciousness, stable vital signs, and less postoperative adverse reactions. It has wide application value.
探讨脊柱骨折合并神经损伤患者采用优质护理的临床效果。 方法:选取我院2019 年4 月-2021 年1 月收治的脊柱骨折合并神经损伤患者110例为研究对象,根据随机数字表法将患者分为观察组与对照组,各55例。对照组采取骨科常规护理,观察组采取骨科优质护理。比较2组患者心理状态、运动能力、日常活动能力及护理满意度。结果:观察组患者心理状态、运动能力、日常活动能力、护理满意度等均显著优于对照组( P<0. 05 )。结论:脊柱骨折伴神经损伤患者采用优质护理可改善患者心理状态,提高患者临床预后,有利于维持良好的护患关系,值得推荐。
