后路微创椎弓根内固定腰椎骨折手术室ERAS护理观察  

ERAS Nursing Observation in The Surgery Room for Posterior Minimally Invasive Pedicle Fixation

作　　者：张丽 张桂金 裴晓春 Zhang Li;Zhang Gui-jin;Pei Xiao-chun(Nanyang Hospital of Traditional Chinese Medicine Dushan District Orthopaedic Hospital Operating Room,Nanyang 473300,Henan Province,China)

机构地区：[1]南阳市中医院独山院区骨科医院手术室,河南南阳473300

出　　处：《罕少疾病杂志》2023年第6期83-84,共2页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210675)。

摘　　要：目的 探析腰椎骨折患者在实施后路微创椎弓根内固定术治疗过程中,结合手术室ERAS护理价值。方法 选取本院2020年1月至2020年12月收治的脊柱科患者作为研究对象,共80例,采用统计学软件SAS进行随机分组,各40例。常规护理用于对照组,手术室ERAS护理用于观察组。比较两组患者经不同方式护理前后后凸Cobb,s角、椎体前缘高度以及疼痛程度改善情况,同时比较两组干预后并发症、功能恢复、各项临床指标变化情况。结果 护理前两组患者后凸Cobb's角,椎体前缘高度水平有可比性,△(P>0.05);治疗后观察组Cobb's角低于对照组椎体前缘高度水平,△差异有统计学意义(P<0.05);干预前两组患者VAS评分有可比性,(P>0.05)△;治疗后观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);治疗后△观察组总并发症发生率低于对照组,差异有统计学意义(P<0.05);干预后观察组Oswestry分、手术治疗时间以及术中出血量均低于对照组,差异有统计学意义(P<0.05)。结论 腰椎骨折患者在实施后路微创椎弓根内固定术治疗过程中,结合手术室ERAS护理,可减轻患者疼痛程度,缩短患者手术治疗时间,减少术中出血量,△改善患者后凸Cobb,s角与椎体前缘高度△,降低并发症发生率,加快功能恢复。Objective To explore the value of ERAS nursing in the operating room during the treatment of lumbar spine fractures with minimally invasive posterior pedicle screw fixation.Methods A total of 80 spinal patients admitted to our hospital from January 2020 to December 2020 were selected as the study subjects.Statistical software SAS was used for random grouping,with 40 patients in each group.Routine care was used for the control group,while ERAS care in the operating room was used for the observation group.Compare the improvement of Cobb's angle,anterior edge height,and pain level of two groups of patients before and after different nursing methods.At the same time,compare the complications,functional recovery,and changes in various clinical indicators after intervention between the two groups.Results showed that the Cobb's angle of kyphosis and the height of the anterior edge of the vertebral body were comparable between the two groups of patients before nursing,△(P>0.05);After treatment,the Cobb's angle in the observation group was lower than the height of the anterior edge of the vertebral body in the control group,with a statistically significant difference(P<0.05);The VAS scores of the two groups of patients before intervention were comparable(P>0.05)△;After treatment,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);After treatment,the total incidence of complications in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05);After intervention,the Oswestry score,surgical treatment time,and intraoperative bleeding volume in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion In the process of implementing posterior minimally invasive pedicle screw fixation surgery for lumbar spine fractures,combined with ERAS nursing in the operating room,the patient's pain level can be reduced,the surgica

关 键 词：腰椎骨折 后路微创椎弓根内固定术 手术室ERAS护理 △椎体前缘高度△ 

分 类 号：R683.2[医药卫生—骨科学]