目的: 探讨加速康复外科理念(ERAS)在骨质疏松性椎体压缩骨折(OVCF)围术期护理中的应用效果。方法: 收集深圳市龙岗区第二人民医院120例符合纳入标准的OVCF患者,随机分为对照组与观察组。对照组采取常规流程治疗,观察组采取ERAS治疗,统计两组患者的骨水泥渗漏率、术椎高度恢复绝对值、并发症发生率、患者满意度等,比较两组患者术前、术后随访结果。结果: 两组患者的骨水泥渗漏率、术椎高度恢复绝对值,术前、术后Cobb角等比较差异均无统计学意义(P＞0.05);两组患者的满意度与并发症发生率比较,差异具有统计学意义(P＜0.05)。结论: 应用ERAS理念治疗及护理OVCF患者安全有效,值得临床推广。
Objective: To explore the nursing effect of enhanced recovery after surgery (ERAS) in treating osteoporotic vertebral compression fractures(OVCF). Methods: A total of 120 OVCF patients inShenzhen Longgang District Second People's Hospital were selected and randomly divided into two groups. The control group was treated with routine process, and the observation group was treated with ERAS. The the rate of bone cement leakage, absolute value of vertebral body height restoration, incidence of complications and patient satisfaction of the two groups were statistically described. The preoperative data and postoperative follow-up results of the two groups were compared. Results: No significant difference on the rate of bone cement leakage, absolute value of vertebral body height restoration, preoperative and postoperative Cobb angle was found between the two groups (P＞0.05). Compared with the control group, the observation group had better patient satisfaction and lower incidence of complications, and the differences were statistically significant (P＜0.05). Conclusion: The application of ERAS in the treatment of OVCF is safe and effective, which is worthy of clinical promotion.
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