快速康复外科理念在脊柱微创手术围手术期护理中的应用  

Application of Fast Track Recovery Surgery Concept in Perioperative Nursing of Minimally Invasive Spine Surgery

作　　者：文艺 刘凡[1] 谢桂玉[1] 樊丽[1] 程卓葵 WEN Yi;LIU Fan;XIE Gui-yu(Department of Spine Surgery,Foshan Hospital of Traditional Chinese Medicine,Foshan,Guangdong,528000,China)

机构地区：[1]佛山市中医院脊柱外科,广东佛山528000

出　　处：《黑龙江医学》2022年第13期1602-1604,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨快速康复外科理念在脊柱微创手术围手术期护理中的应用价值。方法:选取2019年1月—2021年1月佛山市中医院收治的68例脊柱微创手术治疗患者作为研究对象,按随机数表法分为对照组和实验组,每组各34例。对照组采用常规护理,实验组采用快速康复外科理念护理。比较两组患者术后垫枕时间、肛门排气时间、下床活动时间,并发症发生率,生活质量量表(SF-36)评分,视觉模拟评分法(VAS)评分,Barthel指数评定量表(Barthel)评分,肢体运动功能评定量表(FMA)评分情况。结果:实验组患者垫枕时间、肛门排气时间、下床活动时间均少于对照组,差异有统计学意义(t=18.687、10.741、8.684,P<0.05)。实验组患者并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.220,P<0.05)。实验组患者生活质量量表各维度评分(躯体疼痛评分、生理功能评分、生理职能评分、精神健康评分、社会功能评分、活力评分、情感职能评分、总体健康评分)均高于对照组,差异有统计学意义(t=-12.822、-11.834、-16.528、-13.581、-12.190、-10.027、-13.313、-14.106,P<0.05)。实验组患者VAS评分低于对照组;Barthel评分、FMA评分均高于对照组,差异有统计学意义(t=7.894、-11.603、-4.987,P<0.05)。结论:快速康复外科理念在脊柱微创手术中有着较高的应用价值,不仅提高了预后,更提升了患者生活质量,具有应用推广价值。Objective:To explore the application value of the concept of rapid rehabilitation surgery in perioperative nursing care of spinal minimally invasive surgery.Methods:A total of 68 patients with minimally invasive spine surgery who were admitted to the hospital from January 2019 to January 2021 were selected as the research objects,and divided into control group and experimental group according to the random number table method,with 34 cases in each group.The control group was given routine nursing care,while the experimental group was given the concept of fast rehabilitation surgery.Postoperative pillow time,anal exhaust time,ambulation time,complication rate,quality of life scale(SF-36)score,visual analog scale(VAS)score,Barthel index rating scale(Barthel)score,and limb motor function assessment scale(FMA)score were compared between the two groups.Results:The time of bolstering,anal exhaust time,and getting out of bed in the experimental group were less than those in the control group,and the differences were statistically significant(t=18.687,10.741,8.684,P<0.05).The incidence of complications in the experi⁃mental group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.220,P<0.05).The quality of life scores(physical pain score,physiological function score,physiological function score,mental health score,social function score,vitality score,emotional function score,and overall health score)of the patients in the experimental group were higher than those in the control group,and the difference was statistically significant(t=-12.822,-11.834,-16.528,-13.581,-12.190,-10.027,-13.313,-14.106,P<0.05).The VAS score of the experimental group was lower than that of the control group,and the Barthel score and FMA score were higher than those of the control group,and the differences were statistically significant(t=7.894,-11.603,-4.987,P<0.05).Conclusion:The concept of fast recovery surgery has high application value in minimally inva⁃sive spine surgery,which not only imp

关 键 词：快速康复外科理念 脊柱微创手术 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]