快速康复理念在椎间盘镜髓核摘除术围手术期中的应用  

Application of Fast-track Surgery Nursing in Perioperative Period of Microendoscopic Discectomy

作　　者：王丹薇 王卉[2] 孙建华[3] WANG Dan-wei;WANG Hui;SUN Jian-hua(Department of Out-patient,the First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi,832008;Department of the Operating Room,the First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi,832008;Department of Orthopedics,the First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi,832008)

机构地区：[1]石河子大学医学院第一附属医院门诊部,新疆石河子832008 [2]石河子大学医学院第一附属医院手术室,新疆石河子832008 [3]石河子大学医学院第一附属医院骨科,新疆石河子832008

出　　处：《农垦医学》2017年第5期466-469,共4页Journal of Nongken Medicine

摘　　要：目的:观察在椎间盘镜髓核摘除术围手术期应用快速康复外科护理的效果,探讨椎间盘镜髓核摘除术患者的优质护理方法。方法:选取2014年10月-2016年10月在石河子大学医学院第一附属医院收治的椎间盘镜髓核摘除术患者共150例作为本次研究对象,随机均分为快速康复护理组和传统护理组,比较两组临床治疗效果和并发症的发生情况。结果:快速康复护理组患者术后住院天数、卧床时间、住院费用较传统护理组明显减少(P<0.05),术后并发症发生率明显少于传统护理组(P<0.05),术后满意度、遵医嘱行为情况,以及出院时、术后6个月Macnab疗效评定亦明显优于传统护理组(P<0.05)。结论:快速康复理念在椎间盘镜髓核摘除术围手术期的应用是有效、安全的,可以更好地促进患者康复。Objective:To observe the effect of fast-track surgery(FTS)nursing in perioperative period of microendoscopic discectomy(MED),and to investigate the quality nursing methods of MED patients.Methods:From October2014to October2016in author's group,150patients with MED were randomly selected as the subjects of this study.Randomly divided into the rapid rehabilitation nursing group and the traditional nursing group,compared the two groups of clinical treatment effect and the occurrence of postoperative complications.Results:Compared with the two groups,the number of days of hospitalization,bed time and hospitalization expenses were significantly decreased in the rapid rehabilitation nursing group(<0.05).The incidence of postoperative complications was significantly less than that of the traditional nursing group(<0.05),postoperative satisfaction,compliance with the doctor’s behavior,and6months after discharge,Macnab efficacy was significantly better than the traditional nursing group(0.05).Conclusion:The rapid recovery nusing concept is safe and effective for the patients of MED,which may promote the rehabilitation.

关 键 词：快速康复理念 椎间盘镜髓核摘除术 围手术期 

分 类 号：R473.6[医药卫生—护理学]