Risk factors and nursing countermeasures of nerve damage caused by thoracolumbar burst fractures
10.3760/cma.j.issn.1674-2907.2016.25.005
- VernacularTitle:胸腰椎爆裂骨折致神经损伤的危险因素及护理对策
- Author:
Hongyun HAN
1
;
Benrang JIA
;
Junwen CHENG
Author Information
1. 044000 山西省运城市中心医院骨病科
- Keywords:
Department of Orthopedics;
Thoracolumbar burst fractures;
Nerve damage;
Risk factors;
Cross sectional survey;
Nursing countermeasures
- From:
Chinese Journal of Modern Nursing
2016;22(25):3571-3574,3575
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of nerve damage caused by thoracolumbar burst fractures and put forward targeted nursing interventions so as to provide references for improving the prognosis of patients with thoracolumbar burst fractures. Methods We recruited 375 patients with thoracolumbar burst fractures of Department of Orthopedics in Yuncheng Central Hospital. The clinical data were collected with a self-made questionnaire related to risk factors of nerve damage caused by thoracolumbar burst fractures. The data were analyzed with the methods of descriptive statistics and logistic regression analysis using SPSS 19.0 statistical software.Results The major reasons of nerve damage caused by thoracolumbar burst fractures included traffic accidents (43.64%), falls from great heights (29.09 %). Logistic regression analysis showed that the risk factors of nerve damage caused by thoracolumbar burst fractures involved old age ( OR=1. 63, P<0. 01 ) , damaged segments of T12/L1(OR=20.95, P<0.01), rear ligament complex damage (OR=6.72, P<0.01), intraspinal space-occupying (OR=6.58, P<0.01). Besides, the protective factors of nerve damage caused by thoracolumbar burst fractures included the level of knowledge mastery on self-rescue of fractures ( OR=0.52, P<0.01) and self-rescue measures of fractures (OR=0.21, P<0.01).Conclusions The thoracolumbar burst fracture easily caused nerve damage with many influencing factors. In addition to carrying out well perioperative nursing service for patients with thoracolumbar burst fractures in clinic, it is important to provide health education on knowledge related to self-rescue of fractures for the public through an internet platform so as to reduce the occurrence of nerve damage and improve the prognosis of patients.
