摘要
目的 分析骨科康复护理在脊柱脊髓损伤伴不全瘫患者术后的应用效果。方法 选取我院2023年6月至2025年6月期间收治的脊柱脊髓损伤伴不全瘫术后患者86例，分为观察组与对照组。对照组实施常规护理，观察组在此基础上实施骨科康复护理。结果 观察组ASIA运动评分、感觉评分、MBI评分及BBS评分均显著高于对照组，VAS评分明显低于对照组。观察组术后并发症总发生率显著低于对照组（P＜0.05）。结论 骨科康复护理能够显著促进脊柱脊髓损伤伴不全瘫术后患者的神经功能恢复。
关键词： 脊柱脊髓损伤；不全瘫；骨科康复护理；神经功能
Abstract
Objective To analyze the application effect of orthopedic rehabilitation nursing in patients with spinal cord injury and incomplete paralysis after surgery. Methods 86 postoperative patients with spinal cord injury and incomplete paralysis admitted to our hospital from June 2023 to June 2025 were selected and divided into an observation group and a control group. The control group received routine treatment, while the observation group received orthopedic rehabilitation nursing on this basis. Results The observation group had significantly higher ASIA motor score, sensory score, MBI score, and BBS score than the control group, while VAS score was significantly lower than the control group. The total incidence of postoperative complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Orthopedic rehabilitation nursing can significantly promote the recovery of neurological function in patients with spinal cord injury and incomplete paralysis after surgery.
Key words： Spinal cord injury; Incomplete paralysis; Orthopedic rehabilitation nursing; Neurological function
参考文献 References
[1] 陈兴银,叶正云,娄盼,等.老年脊柱结核误诊为骨质疏松骨折行椎体成形术致不全瘫一例[J].骨科,2021,12(06): 566-569.
[2] 朱宗波,李璐华,高斌,等.脊柱脊髓开放性损伤急诊手术治疗体会[J].中国骨与关节损伤杂志,2020,35(05):507-509.
[3] 胡桂芳,朱孝丽.Autar风险评估护理在脊柱骨折合并脊髓损伤手术患者中的应用[J].齐鲁护理杂志,2020,26(12): 25-28.
[4] 卢海梅,孟晓燕,李爽,等.离床护理对重度脑卒中患者改良Barthel指数的改善效果[J].名医,2025,(08):126-128.
[5] 王亚平,沈利岩,车文,等.不同平衡功能量表在老年综合评估中的应用[J].老年医学与保健,2023,29(06):1308-1313.
[6] 倪博然,赵进喜,黄为钧,等.基于视觉模拟评分法探究中医临床疗效评价新方法[J].中华中医药杂志,2021,36(01): 288-292.
[7] 江闽,赵颖.优质护理干预在脊柱骨折合并脊髓损伤手术中的护理效果[J].临床医药文献电子杂志,2020,7(46): 60+62.
[8] 阮海燕.康复护理对脊髓损伤伴不全瘫术后患者的脊髓功能及对其心理状态的影响[J].中国医药指南,2024, 22(33):170-172+176.