经皮内镜椎板间入路髓核摘除术联合术后针对性康复管理在腰椎间盘突出症患者中的应用  

Application of percutaneous endoscopic interlaminar discectomy combined with postoperative targeted rehabilitation management in patients with lumbar disc herniation

作　　者：吴峰[1] 黄勇全[1] 廖琼[1] 张婷[1] WU Feng;HUANG Yongquan;LIAO Qiong;ZHANG Ting(Department of Spinal Surgery,Pingxiang People's Hospital,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡市人民医院脊柱外科,江西萍乡337000

出　　处：《中国当代医药》2023年第14期68-72,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212191)。

摘　　要：目的探究经皮内镜椎板间入路髓核摘除术(PEID)联合术后针对性康复管理在腰椎间盘突出症(LDH)患者中的应用价值。方法选取2021年10月至2022年7月的萍乡市人民医院的60例LDH患者作为研究对象,采用随机数字表法将其分为对照组和(n=30例)和研究组(n=30例)。对照组采用PEID联合常规护理,研究组采用PEID联合术后针对性康复管理。比较两组临床疗效、腰椎功能、炎症反应、疼痛情况、术后并发症情况以及护理满意度。结果研究组术后3个月临床疗效优于对照组,差异有统计学意义(P<0.05)。研究组术后3、6个月Oswestry功能障碍指数(ODI)量表评分低于对照组,差异有统计学意义(P<0.05)。研究组术后3、6个月日本腰椎矫形外科学会(JOA)评分高于对照组,差异有统计学意义(P<0.05)。研究组术后3个月C反应蛋白(CRP)水平低于对照组,差异有统计学意义(P<0.05)。研究组术后3个月疼痛视觉模拟评分法(VAS)低于对照组,差异有统计学意义(P<0.05)。研究组术后3个月并发症总发生率低于对照组,差异有统计学意义(P<0.05);研究组术后3个月护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论PEID联合术后针对性康复管理应用于LDH患者中可提高临床疗效,改善患者腰椎功能,减轻炎性反应,缓解疼痛程度,降低术后并发症发生率以及提高患者对护理的满意度。Objective To explore the application value of percutaneous endoscopic interlaminar discectomy(PEID)combined with postoperative targeted rehabilitation management on patients with lumbar disc herniation(LDH).Methods A total of 60 patients with LDH in Pingxiang People's Hospital from October 2021 to July 2022 were selected as the study subjects and were divided into control group(n=30)and study group(n=30)according to the random number table method.The control group was given PEID combined with routine nursing while the study group was treated with PEID combined with postoperative targeted rehabilitation management.The clinical efficacy,lumbar function,inflammatory response,pain,postoperative complications and nursing satisfaction were compared between the two groups.Results The clinical efficacy of study group at 3 months after surgery was better than that of control group,the difference was statistically significant(P<0.05).At 3 and 6 months after surgery,the scores of Oswestry disability index(ODI)of study group were lower than those of control group,the differences were statistically significant(P<0.05).The scores of Japanese Orthopedic Association(JOA)of study group at 3 and 6 months after surgery were higher than those of control group,the differences were statistically significant(P<0.05).At 3 months after surgery,the level of C-reactive protein(CRP)was lower in study group than that in control group,the difference was statistically significant(P<0.05).The score of visual analogue scale(VAS)of study group at 3 months after surgery was lower than that of control group,the difference was statistically significant(P<0.05).The total incidence rate of complications in study group at 3 months after surgery was lower compared with that in control group,the difference was statistically significant(P<0.05).At 3 months after surgery,the total nursing satisfaction in study group was higher compared to control group,the difference was statistically significant(P<0.05).Conclusion PEID combined with postoperative targeted

关 键 词：经皮内镜椎板间入路髓核摘除术 术后针对性康复管理 腰椎间盘突出症 

分 类 号：R615[医药卫生—外科学]