Clinical nursing analysis of vertebroplasty in the treatment of senile thoracolumbar fracture
椎体成形术治疗老年胸腰椎骨折的临床护理分析

摘要

目的 探讨老年胸腰椎骨折患者椎体成形术治疗后临床护理干预措施。方法 取本院2年（2022.01~2023.12）内150例老年胸腰椎骨折行经皮穿刺椎体成形术（PVP）治疗的患者随机分组，对照组实施常规护理，研究组给予围手术期优质护理，比较两组护理效果。结果 两组护理后并发症发生率（肺炎、压力性损伤、下肢深静脉血栓、感染）、临床指标（手术时间、首次下床活动时间、住院时间）对比，研究组明显更具优势（P＜0.05）；两组术后6h、12h、24h、36h的VAS评分对比，研究组更低（P＜0.05）。结论 围手术期优质护理在老年胸腰椎骨折椎体成形术治疗中具有重要意义，可有效提高手术安全性，减少并发症发生率，促进患者康复，提高患者生活质量，值得推广。

Abstract

Objective To explore the clinical nursing intervention measures after vertebroplasty for elderly patients with thoracolumbar fracture.
Methods 150 elderly patients with thoracolumbar fracture who underwent percutaneous vertebraplasty (PVP) in our hospital within 2 years (2022.01-2023.12) were randomly divided into two groups, the control group received routine nursing, and the study group received perioperative quality nursing, and the nursing effect of the two groups was compared.
Results After nursing, the incidence of complications (pneumonia, pressure injury, deep vein thrombosis of lower extremity, infection) and clinical indexes (operation time, first time of getting out of bed, length of stay) of the two groups were significantly more advantageous (P < 0.05). The VAS scores of 6h, 12h, 24h and 36h of the two groups were lower in the study group (P < 0.05).
Conclusion   Perioperative quality nursing is of great significance in the treatment of vertebroplasty for elderly thoracolumbar fractures, which can effectively improve the safety of surgery, reduce the incidence of complications, promote the rehabilitation of patients and improve the quality of life of patients.