快速康复理念在神经根型颈椎病经皮颈椎间盘摘除术围手术期的应用  

Application of rapid rehabilitation concept in perioperative period of percutaneous cervical discectomy for cervical spondylotic radiculopathy

作　　者：方敏[1] 蒋旭萍[1] 江宗华[1] FANG Min;JIANG Xuping;JIANG Zonghua(Department of Neurology,Ganzhou People’s Hospital in Zhejiang Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院神经内科,江西赣州341000

出　　处：《中国现代医生》2020年第15期186-188,192,共4页China Modern Doctor

基　　金：江西省赣州市科技局项目(GZ2019ZSF144)。

摘　　要：目的探讨快速康复理念在经皮颈椎间盘镜手术围手术期护理中的应用价值。方法选取2019年6月~2020年1月在我院行皮颈椎间盘摘除术治疗的40例神经根型颈椎病患者为研究对象,以不同的护理方式将其分为观察组与对照组,每组各20例。对照组行传统围术期护理,观察组在围术期护理中应用快速康复理念,观察两组肛门排气时间、住院时间、住院费用、患者对护理工作的满意率及并发症的发生率。结果观察组的肛门排气时间为(1.97±0.55)d、住院时间为(5.21±1.68)d、住院费用(20198.56±738.94)元,对照组肛门排气时间为(2.51±0.67)d、住院时间为(7.69±2.41)d、住院费用(25340.99±755.48)元,观察组的肛门排气时间与住院时间均短于对照组,且住院费用少于对照组(t=3.715、3.775、21.762,P=0.041、0.046、0.008)。观察组的护理满意率(100.00%)高于对照组(80.00%)(χ2=4.444,P=0.035);观察组并发症的发生率(5.00%)低于对照组(30.00%)(χ2=4.329,P=0.037)。结论在神经根型颈椎病经皮颈椎间盘摘除术围术期应用快速康复理念,可以缩短患者肛门排气与住院时间,并减少患者的医疗费用及并发症的发生,同时还能提高患者的满意度。Objective To explore the application value of rapid rehabilitation concept in perioperative nursing of percutaneous cervical discectomy(PCD).Methods 40 patients with cervical spondylotic radiculopathy(CSR)treated with PCD in our hospital from June 2019 to January 2020 were selected as the subjects of research and divided into the observation group and the control group according to different nursing patterns with 20 patients in each group.The control group received traditional perioperative nursing,while the observation group received perioperative nursing with the application of rapid rehabilitation concept.The anal exhaust time,hospitalization time,hospitalization expense,satisfaction rate of patients with nursing and incidence rate of complications were observed in the two groups.Results The anal exhaust time of the observation group was(1.97±0.55)d,the hospitalization time was(5.21±1.68)d,and the hospitalization expense was(20198.56±738.94)yuan,while the anal exhaust time of the control group was(2.51±0.67)d,the hospitalization time was(7.69±2.41)d,and the hospitalization expense was(25340.99±755.48)yuan.The anal exhaust time and hospitalization time of the observation group were both shorter than those of the control group,and the hospitalization expense was less than that of the control group(t=3.715,3.775,21.762,P=0.041,0.046,0.008);the satisfaction rate of patients with nursing in the observation group(100.00%)was higher than that in the control group(80.00%)(χ2=4.444,P=0.035);the incidence rate of complications in the observation group(5.00%)was lower than that in the control group(30.00%)(χ2=4.329,P=0.037).Conclusion The application of rapid rehabilitation concept in the perioperative period of PCD for CSR can shorten the patients’anal exhaust time and hospitalization time,reduce the medical expenses and incidence of complications for them,and improve their satisfaction.

关 键 词：快速康复理念 神经根型颈椎病 经皮颈椎间盘摘除术 围术期 应用效果 

分 类 号：R687.3[医药卫生—骨科学]