快速康复理念结合五点式腰背肌长期锻炼干预腰椎后路椎间植骨融合内固定患者价值分析  

Analysis of the Value of Rapid Rehabilitation Nursing Combined with Five-Point Lumbar Back Muscle Long-term Exercise in Lumbar Posterior Interbody Bone Grafting and Internal Fixation

作　　者：王玥[1] WANG Yue(Department of Spine,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津市天津医院脊柱二病区,天津300211

出　　处：《罕少疾病杂志》2023年第1期75-76,91,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的分析快速康复理念结合五点式腰背肌长期锻炼对腰椎后路椎间植骨融合内固定患者术后康复的影响。方法随机数字表法将笔者医院2019年3月至2020年8月76例腰椎后路椎间植骨融合术患者分为2组,观察组行快速康复护理结合五点式腰背肌长期锻炼,对照组行常规护理;记录两组围术期指标(排气时间、离床活动时间、住院时间);以术前、术后3个月、术后6个月为观察时间点,记录腰椎影像指标(腰椎生理前凸角、椎间隙高度)、多裂肌面积变化,以ODI、VAS评分评估疼痛;观察血液流变直白哦(红细胞聚集指数、血浆黏度),评估腰椎功能改善情况和护理满意率。结果与对照组比,观察组排气时间、离床活动时间更早,住院时间更短;术后3个月、6个月时两组腰椎生理前凸角、椎间隙高度改善(P<0.05)但组间无显著差异(P>0.05);术后3个月、6个月观察组多裂肌面积更大,ODI、VAS分值更低,红细胞聚集指数、血浆黏度更低,P<0.05;观察组腰椎功能改善总有效率(92.11%)和护理满意率(94.74%)更高,P<0.05。结论快速康复理护理合五点式腰背肌长期锻炼干预腰椎后路椎间植骨融合内固定患者,能促进术后短期与长期恢复,缓解疼痛,促进局部血液循环,改善肌腱和腰椎功能。Objective To analyze the effects of rapid rehabilitation nursing combined with five-point lumbar back muscle long-term exercise on postoperative rehabilitation of patients with lumbar posterior interbody bone grafting and fusion internal fixation.Methods 76 patients with lumbar posterior interbody bone grafting in our hospital from March 2019 to August 2020 were divided into two groups by random number table method.The observation group received rapid rehabilitation nursing combined with five-point lumbar back muscle long-term exercise,and the control group received routine nursing.Perioperative indexes(exhaust time,ambulation time and length of hospital stay)were recorded.Lumbar imaging indexes(lumbar physiological lordosis Angle and intervertebral space height)and changes of multifidus muscle area were recorded before surgery,3 months after surgery and 6 months after surgery.Pain was assessed by ODI and VAS scores.Observe the blood rheology(RBC aggregation index,plasma viscosity),evaluate the improvement of lumbar spine function and nursing satisfaction rate.Results Compared with the control group,the observation group had earlier exhaust time,out of bed activity time and shorter hospitalization time.Lumbar lordosis Angle and intervertebral space height were improved 3 and 6 months after operation(P<0.05),but there was no significant difference between the two groups(P>0.05).At 3 and 6 months after surgery,the observation group had larger multifidus muscle area,lower ODI and VAS scores,lower RBC aggregation index and plasma viscosity,P<0.05;The total effective rate of lumbar function improvement(92.11%)and nursing satisfaction rate(94.74%)in the observation group were higher,P<0.05.Conclusion Rapid rehabilitation nursing combined with five-point lumbar back muscle long-term exercise can promote short-term and long-term recovery,relieve pain,promote local blood circulation,and improve tendon and lumbar function.

关 键 词：快速康复 五点式腰背肌锻炼 椎间植骨融合内固定 疼痛 

分 类 号：R473[医药卫生—护理学]