Application of early systematic nursing care in the treatment of thoracolumbar spinal fracture by transpedicular

fixation via injured vertebra Chen Liping; Huang Haihua

doi:10.3969/j.issn.1006-7256.2014.10.005

Abstract：Objective:To investigate the effect of early systematic nursing care in the treatment of thoracolumbar spinal fracture by trans-pedicular fixation via injured vertebra. Methods:58 thoracolumbar spinal fracture patients who were treated with transpedicular fixation via injured vertebra were randomly divided into the observation group and the control group(29 cases in each group). The conventional post-operative nursing care for fracture patients was given to the patients in the control group;the early systematic nursing care was addtionally provided for the patients in the observation group. The VAS score,the Cobb angle of the injured vertebra,ODI score,the incidence of com-plicatios,hospitalization days and the score of satisfaction rate were compared between the two groups before and after nursing care. Re-sults:Compared with those before nursing care,the scores of VAS and ODI significantly decreased after nursing care in the two groups and the scores of VAS and ODI were significantly lower in the observation group than the control group after nursing care(P ﹤ 0. 05);the inci-dence of postoperative complications was significantly lower in the observation group than the control group(P ﹤ 0. 05);the time in bed and the time of hospitalization was significantly shorter and the score of satisfaction rate was significantly higher in the observation group than the control group(P ﹤ 0. 05). Conclusion:The early systematic nursing intervention can effectively improve thoracic and lumbar func-tion of the patients and shorten the hospitalization time in the treatment of thoracolumbar spinal fracture by transpedicular fixation via in-jured vertebra.