不同体位管理模式在腰椎后路手术应用效果  

Effect of dfferent posture management modes in posterior lumbar surgery

作　　者：许蕾 向涛 徐婷婷 XU Lei;XIANG Tao;XU Tingting(Operation room of Urumqi traditional Chinese medicine hospital,Urumqi,830000,China)

机构地区：[1]乌鲁木齐市中医医院手术室,乌鲁木齐830000

出　　处：《新疆医学》2024年第4期439-441,451,共4页Xinjiang Medical Journal

摘　　要：目的分析针对腰椎后路手术患者应用不同体位管理模式对术后疼痛及血流指标的改善效果。方法对2019年6月-2021年6月于本院行腰椎后路手术的100例患者资料进行回顾性分析(为方便对比,纳入相同数量的两种体位患者)。采用患者手术角度分设对照组(传统角度,n=50例),试验组(低角度,n=50)。比较两组手术前后VAS评分、下肢静脉血流指标及腰痛ODI评分。结果术后3个月时,试验组VAS评分及ODI评分显著低于对照组同期及本组术前,差异有统计学意义(P<0.05);手术结束时,试验组左右侧腘静脉、左右侧胫后静脉血流变化改善情况均显著优于对照组,差异有统计学意义(P<0.05)。结论针对腰椎后路手术患者,低角度体位管理模式的应用,可减轻术后疼痛,改善血流指标,提升腰椎功能,可推广。Objective To analyze the improvement effect of different postural management modes on postoperative pain and blood flow indexes in patients with posterior lumbar spine surgery.Methods A retrospective analysis was conducted on the data of 100 patients who underwent posterior lumbar surgery in our hospital from June 2019 to June 2021(for the convenience of comparison,the same number of patients in two different postures were included).Patients were divided into a control group(traditional angle,n=50 cases)and an experimental group(low angle,n=50 cases)using surgical angles.The VAS scores,lower limb venous blood flow indicators,and low back pain ODI scores before and after surgery between the two groups were compared.Results At 3 months after operation,the VAS score and ODI score of the experimental group were significantly lower than those of the reference group at the same period and before operation in this group,and the difference was statistically significant(P<0.05).The improvement of blood flow changes of the left and right posterior tibial veins was significantly better than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion For patients with posterior lumbar spine surgery,the application of low-angle postural management mode can reduce postoperative pain,improve blood flow indicators,and improve lumbar spine function,which can be promoted.

关 键 词：体位管理 腰椎后路手术 疼痛 血流指标 静脉回流 

分 类 号：R473.6[医药卫生—护理学]