快速康复外科在颈椎间盘置换术患者围手术期护理中的应用效果分析  

Application of the concept of fast-track surgery in perioperative period of cervical intervertebral disc replacement

作　　者：倪娟 张佳 王丽平 冷楠楠 朱冬梅 

机构地区：[1]解放军第八一医院护理部,江苏南京210000

出　　处：《颈腰痛杂志》2017年第1期76-78,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨在颈椎间盘置换术患者围手术期应用快康复外科护理的效果。方法将2010-07-2015-06行颈椎间盘置换术的120例患者随机分为对照组60例和实验组60例,两组一般资料差异无统计学意义(P>O.05),具可比性。对照组采取传统常规护理;实验组在常规护理的基础上采用快速康复外科护理。比较两组患者的VAS评分、JOA评分,下床活动时间、术后住院时间及住院费用,术后并发症的发生率。结果观察组患者VAS评分,JOA评分、术后住院时间及住院费用明显优于对照组(P<0.05),术后并发症发生率低于对照组(P<0.05)。结论对颈椎间盘置换术患者实施快速康复外科护理可减少并发症的发生,有利于早期功能锻炼,获得更好的治疗效果和预后。Objective To discuss the effects of fast-track surgery （FTS） on the nursing care during the perioperative period of cervical intervertebral disc replacement. Methods 120 patients with cervical intervertebral disc replacement from July 2010 to June 2015 were randomly divided into the control group and the experimental group. There were no differences between the two groups （P〉0.05）. The conventional nursing care was used incontrol group, and the FTS nursing was used in the experimental group on the basis of the conventional nursing care. The VAS score, JOA score, time of off-bed activity, postoperative hospital stay, hospitalization expenses, postoperative complications were compared between the two groups. Results The VAS score, JOA score, time of off-bed activity and hospitalization expenses in FTS group were markedly better than those in control group. Postoperative complications in control group were worse than that in FTS group. Conclusion The rapid recovery concept in perioperative period of cervical intervertebral disc replacement could reduce the occurrence of postoperative complications, contribute to the early functional exercise, and could gain better therapeutic effect and prognosis.

关 键 词：快速康复外科 颈椎间盘置换 围手术期护理 

分 类 号：R248.2[医药卫生—中医临床基础]