Perioperative nursing of percutaneous kyphoplasty for osteoporotic vertebral compression fracture in advanced age
10.3760/cma.j.issn.1674-2907.2016.18.011
- VernacularTitle:经皮椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折的围术期护理
- Author:
Ying ZHOU
1
;
Jing BI
;
Qingjun SU
;
Wei YUAN
Author Information
1. 100020 首都医科大学附属北京朝阳医院骨科
- Keywords:
Aged;
Osteoporosis;
Vertebral compression fracture;
Kyphoplasty
- From:
Chinese Journal of Modern Nursing
2016;22(18):2557-2560
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the perioperative nursing of percutaneous kyphoplasty (PKP)for osteoporotic vertebral compression fracture in advanced age.Methods We selected 58 patients (65 centrums) with the treatment of PKP for osteoporotic thoracolumbar fracture in advanced age including 18 males with 18 centrums and 40 females with 47 centrums from January 2011 to June 2013.Patients were given mental nursing,posture training and assessment before operation.And then,they were treated with electrocardiogram monitoring,close observation for complication,early rehabilitation training and discharge guidance after operation. Finally,the visual analogue scale (VAS),Oswestry dysfunction index (ODI),height of injured vertebra were analyzed statistically before and 2 days after operation along with recording the situation of cement leakage. Results A total of 58 patients all underwent surgical treatment successfully.Before and 2 days after operation, the score of VAS was (8.21 ±0.72)and (2.94 ±0.83);the score of ODI was (81.02 ±7.24)and (27.35 ± 6.11);the height of injured vertebra anterior edge was (70.75 ±5.31)% and (82.14 ±4.90)%;the height of the middle of injured vertebra was (71.72 ±4.54)% and (84.46 ±4.51)%;there were statistically significant differences in them (P <0.05).Besides,there were 5 cases (5 centrums)with bone cement leakage.Moreover, all of the 58 patients received careful nursing,recovered successfully and discharged.Conclusions PKP for osteoporotic vertebral compression fracture in advanced age can get satisfactory clinical results,effectively relieve the pain and improve function.It is an important guarantee for satisfactory clinical results to provide carefully mental nursing,assessment before operation and systematic nursing after operation.
