腰椎间盘突出症患者微创术后实施阶梯式康复护理的效果  

The effect of stepwise rehabilitation nursing after minimally invasive surgery for patients with lumbar disc herniation

作　　者：陆燕群 王胜[1] 陈娟红 李芹 LU Yanqun;WANG Sheng;CHEN Juanhong;LI Qin(Department of Orthopaedics,Jiaxing Traditional Chinese Medicine Hospital in Zhejiang Province, Jiaxing 314001,China)

机构地区：[1]浙江省嘉兴市中医医院骨科

出　　处：《中国现代医生》2019年第17期148-151,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2014ZP012)

摘　　要：目的探讨腰椎间盘突出症患者微创术后实施阶梯式康复护理的效果。方法选取2015年4月~2018年4月于我院行微创手术治疗的腰椎间盘突出症患者120例,采用随机数字法分为观察组和对照组,每组60例,对照组患者术后给予常规康复护理模式,观察组患者术后给予阶梯式康复护理模式,比较两组患者护理前后视觉模拟评分法(visual analogue scale,VAS)评分和日本骨科协会(Japanese orthopaedic association,JOA)评分,并比较患者的满意度及护理期间的不良反应发生率。结果两组患者护理前VAS评分和JOA评分相比,差异无统计学意义(P>0.05);护理后,与对照组相比,观察组患者的VAS评分显著降低,而JOA评分显著升高,差异有统计学意义(P<0.05);观察组患者的满意度为95.00%,对照组患者的满意度为81.67%,差异有统计学意义(P<0.05);观察组患者的不良反应发生率为8.33%,对照组患者的不良反应发生率为21.67%,差异有统计学意义(P<0.05)。结论阶梯式康复护理能够显著缓解腰椎间盘突出症患者微创术后的疼痛症状,并有效恢复患者的腰椎间盘功能,具有积极的临床意义。Objective To investigate the effect of stepwise rehabilitation nursing after minimally invasive surgery in patients with lumbar disc herniation. Methods A total of 120 patients with lumbar disc herniation who underwent minimally invasive surgery in our hospital from April 2015 to April 2018 were enrolled. The patients were divided into observation group and control group by random number method, with 60 cases in each group. The control group was given the routine rehabilitation nursing mode after operation. The patients in the observation group were given a stepwise rehabilitation nursing mode after surgery. The visual analogue scale(VAS) scores and the Japanese orthopaedic association(JOA)scores of the two groups were compared before and after treatment. And the patient satisfaction and the incidence of adverse reactions during care were compared. Results There was no significant difference in pre-treatment VAS scores and JOA scores between the two groups(P>0.05). After nursing, the VAS scores of the observation group were significantly lower than those of the control group, while the JOA scores were significantly increased. The difference was statistically significant(P<0.05). The satisfaction of the observation group was 95.00%, and the satisfaction of the control group was 81.67%. The difference between two groups was statistically significant(P<0.05). The incidence of adverse reactions in the observation group was 8.33%, and the incidence of adverse reactions in the control group was 21.67%. The difference between two groups was statistically significant(P<0.05). Conclusion Step-wise rehabilitation nursing can significantly alleviate the pain symptoms after minimally invasive surgery in patients with lumbar disc herniation, and effectively restore the lumbar intervertebral disc function of patients, which has positive clinical significance.

关 键 词：腰椎间盘突出症 微创 康复护理 阶梯式 

分 类 号：R473.6[医药卫生—护理学]