快速康复理念在经椎间孔镜下腰椎间盘切除术中的应用价值  

Nursing by the rapid recovery concept helps patients undergoing percutaneous transforaminal endoscopic discectomy quickly recovery

作　　者：苏敏[1] 屈寒雪 齐燕平 Su Min;Qu Hanxue;Qi Yanping(Changping District Hospital,Beijing 102200,China)

机构地区：[1]北京市昌平区医院,北京102200

出　　处：《首都食品与医药》2024年第22期136-139,共4页Capital Food Medicine

摘　　要：目的 讨论快速康复理念在因腰椎间盘突出症行椎间孔镜下腰椎间盘切除术患者护理中的应用价值.方法 选择2022年5月-2024年1月北京市昌平区医院收治的腰椎间盘突出症行椎间孔镜腰椎间盘切除术患者64例作为研究对象,随机分为研究组和对照组.研究组应用快速康复的理念进行干预,而对照组采用常规护理理念进行干预.比较两组患者术前、术后1天、术后3个月VAS评分、Oswestry功能障碍指数(Oswestry disability index,ODI),并发症情况及住院天数.结果 研究组与对照组术前VAS评分无明显差别,术后第1天,研究组VAS评分明显降低,差异有统计学意义(P<0.05),术后3个月,两组VAS评分无明显差别.研究组与对照组术前ODI评分无明显差别,术后第3天,研究组ODI评分低于对照组,差异有统计学意义(P<0.05),两组ODI评分术后3个月无明显差别.对照组有5例出现下肢静脉血栓,研究组出现1例下肢静脉血栓,两组静脉血栓均为肌间静脉血栓形成,及时发现后无重大后果,对照组出现1例便秘患者,予以按摩、口服药物后缓解.住院天数:研究组为(4.2±0.2)天,对照组为(7.5±2.2)天,研究组住院天数明显减少,差异有统计学意义(P<0.05).结论 在快速康复理念的指导下,积极的护理干预能够使腰椎盘突出症行椎间孔镜手术治疗的患者在不耽误正常治疗的情况下减轻术后疼痛,减少住院天数,帮助患者快速恢复腰椎功能.Objective To discuss the value of the rapid recovery concept in the nursing of patients undergoing percutaneous transforaminal endoscopic discectomy due to lumbar disc herniation.Methods Sixty four patients with lumbar disc herniation who underwent percutaneous transforaminal endoscopic discectomy from May 2022 to January 2024 were selected and randomly divided into a study group and a control group.The study group applied the concept of rapid recovery for intervention,while the control group used conventional nursing concepts.Compare the VAS scores of two groups of patients before surgery,1 day after surgery,and 3 months after surgery;Oswestry Disability Index(ODI)before surgery,3 days after surgery,and 3 months after surgery;complications and length of hospital stay.Results There was no significant difference in preoperative VAS scores between the study group and the control group.On lst day after surgery,the VAS scores of the study group decreased significantly,with statistical significance(P<0.05).There was no significant difference in VAS scores between the two groups 3 months after surgery.There was no significant difference in preoperative ODI scores between the study group and the control group before surgery.On 1st day after surgery,the ODI scores in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in ODI scores between the two groups 3 months after surgery.There were 5 cases of lower limb venous thrombosis in the control group,1 case of lower limb venous thrombosis in the study group,and both of the two groups were intramuscular venous thrombosis with no significant consequences after timely detection.There was 1 case of constipation in the control group,which was relieved after massage and oral medication.Hospitalization days:the study group had(4.2±0.2)days,while the control group had(7.5±2.2)days.The hospitalization days in the study group were significantly reduced,and the difference was statisti

关 键 词：快速康复 椎间孔镜 腰椎间盘切除术 腰椎间盘突出症 

分 类 号：R473.6[医药卫生—护理学]