加速康复外科理念在腰椎融合手术中的临床应用及效果评价  

Clinical Application and Effect Evaluation of Enhanced Recovery After Surgery in Lumbar Fusion Surgery

作　　者：崔恒燕[1] 顾鸿程[1] 包昶厅 CuiHengyan;Gu Hongcheng;Bao Changting(Wuxi Hospital of Traditional Chinese Medicine,Wuxi,Jiangsu,214071,China)

机构地区：[1]无锡市中医医院,江苏无锡214071

出　　处：《黑龙江医学》2024年第14期1693-1695,共3页Heilongjiang Medical Journal

摘　　要：目的:研究加速康复外科(ERAS)理念在腰椎融合手术中的临床应用效果。方法:选取2018年1—12月无锡市中医医院在脊柱外科行单节段腰椎融合手术的60例患者作为研究对象,分为对照组(30例)及ERAS组(30例),在围手术期中分别采取常规干预和ERAS干预。对比分析两组患者不同时间点的视觉模拟评分法(VAS)评分、手术时间、出血量、患者满意度等情况。结果:ERAS组相较于对照组在术后3 d内的和出院时VAS评分有明显优势,差异均有统计学意义(t=2.176、2.873,P<0.05),术后满意度均高于对照组,差异有统计学意义(χ^(2)=11.43,P<0.05)。两组患者术后1个月、术后1年随访的VAS评分比较,差异均无统计意义(t=3.245、0.733,P>0.05)。结论:临床应用加速康复外科理念能够明显提高腰椎融合手术的疗效。Objective:To study the clinical effect of enhanced recovery after surgery(ERAS)in lumbar fusion surgery.Methods:A prospective study was conducted on 60 patients who underwent single-level lumbar fusion surgery in the Department of Spinal Surgery from January to December 2018.They were divided into control group(30 cases)and ERAS group(30 cases),who received routine intervention and ERAS intervention during perioperative period,respectively.The VAS score,operation time,blood loss and patient satisfaction were analyzed between the two groups at different time points.Results:Compared with the control group,there is significant advantage in VAS score within 3 days after operation and at discharge in the ERAS group(t=2.176,2.873;P<0.05),and the postoperative satisfaction was higher than that of the control group(χ^(2)=11.43,P<0.05).There was no significant difference in VAS scores between the two groups 1 month and 1 year after operation(t=3.245,0.733;P>0.05).Conclusion:Clinical application of enhanced recovery after surgery concept can significantly improve the efficacy of lumbar fusion surgery.

关 键 词：加速外科康复理论 腰椎 脊柱融合术 

分 类 号：R47[医药卫生—护理学]