Observation on the effect of rehabilitation nursing applied in the nursing of patients with traumatic cervical spine fracture combined with spinal cord injury
康复护理应用于创伤性颈椎骨折合并脊髓损伤患者护理中的效果观察

摘要

目的 研究创伤性颈椎骨折合并脊髓损伤患者的护理，观察康复护理的应用效果。方法 根据本院近年收治的创伤性颈椎骨折合并脊髓损伤患者，将2022.05~2023.05期间就诊的92例予以随机分组，分组法采用电脑双盲法分成46例两组，常规护理为对照组，康复护理为观察组，针对护理效果作出对比分析。结果 观察组首次下床时间、住院时间相较对照组两项时间，均显著较短，（p＜0.05）；护理前予以脊柱功能（JOA）、疼痛程度（VAS）评估，2组评分无明显差异，（p＞0.05），经过护理后出现改善趋势，观察组JOA评分、VAS评分较优，（p＜0.05）；统计患者出现的并发症（下肢深静脉血栓、压疮、泌尿系统感染），相较总发生率（观察组：2.17%，对照组：17.39%），可见观察组并发症较少，（p＜0.05）。结论 对于创伤性颈椎骨折合并脊髓损伤患者的临床护理，应用康复护理效果理想，对患者脊柱功能改善良好，利于预防术后并发症，值得推广。

Abstract

Objective To study the nursing care of patients with traumatic cervical spine fracture combined with spinal cord injury, and to observe the application effect of rehabilitation nursing.
Methods Based on the patients with traumatic cervical spine fractures combined with spinal cord injuries admitted to a hospital in recent years, 92 patients who visited between May 2022 and May 2023 were randomly divided into two groups using a double-blind computer method. Routine care was used as the control group, and rehabilitation care was used as the observation group. A comparative analysis was made on the nursing effect.
Results The first time of getting out of bed and hospitalization time in the observation group were significantly shorter than those in the control group (p<0.05); Before nursing, spinal function (JOA) and pain severity (VAS) were evaluated, and there was no significant difference in scores between the two groups (p>0.05). After nursing, there was a trend of improvement, and the observation group had better JOA and VAS scores (p<0.05); The incidence of complications in patients (lower limb deep vein thrombosis, pressure ulcers, urinary system infections) was statistically analyzed. Compared with the total incidence rate (observation group: 2.17%, control group: 17.39%), it can be seen that the observation group has fewer complications (p<0.05).
Conclusion   For clinical nursing of patients with traumatic cervical spine fracture combined with spinal cord injury, the application of rehabilitation nursing has an ideal effect, improves spinal function, and is beneficial for preventing postoperative complications. It is worth promoting.