Objective To explore and analyze the effect offracture and rehabilitation about early nursing intervention for the treatment on thoracic lumbar spinal anterior internal fixation.Methods 90 patients with thoracic lumbar spine fractures at the First Affiliated Hospital of Harbin Medical University from June 2014 to June 2016 were selected.All the patients were divided into control group and observation group according to random number table,with 45 cases in each group.The patients in control group were given routine nursing care,while the patients in observation group were given early nursing intervention.The clinical efficacy,neural function and adverse reactions and quality of life of two groups were compared.Results The total effective rate of observation group was obviously higher than that of control group,with statistically significant difference (P ＜ 0.05).The neural function classification of the two groups after treatment were improved observably,the improvement of the observation group was more remarkably than that of the control group,with statistically significant difference (P ＜ 0.05).The incidence of adverse reactions in observation group was lower than that in control group,with statistically significant difference (P ＜ 0.05).The role function,physical function,psychological function,social function scores and total score of the two groups after treatment were improved observably,the improvement of the observation group was more remarkably than those of the control group,with statistically significant difference (P ＜ 0.05).Conclusion Early nursing intervention applying to patients with thoracic lumbar spine fracture can improve the clinical curative effect and nerve function,reduce the adverse reactions,with good rehabilitation effects and higher security.%目的 探究与分析早期护理干预对经前路内固定治疗胸腰段脊柱骨折效果及康复效果的影响.方法 选取哈尔滨医科大学附属第一医院2014年6月～2016年6月收治的90例接受前路内固定治疗的胸腰段脊柱骨的患者,按随机数字表法分为对照组与观察组,每组各45例.对照组给予常规护理,观察组给予早期护理干预,对比两组患者临床疗效、神经功能、不良反应及术后生活质量.结果 观察组的总有效率明显高于对照组,差异有统计学意义(P＜0.05).与治疗前相比,两组患者治疗后神经功能分级均得到改善,观察组比对照组改善更加显著,差异有统计学意义(P＜0.05).与对照组相比,观察组不良反应发生率明显降低,差异有统计学意义(P＜0.05).与护理前相比,两组患者护理后角色功能、躯体功能、心理功能、社会功能评分及总分均得到改善,观察组比对照组改善更加显著,差异有统计学意义(P＜0.05).结论 应用早期护理干预可提高胸腰段脊柱骨折患者的临床效果,改善神经功能,康复效果较好,降低不良反应,安全性较高.
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