快速康复外科护理在胸腰椎压缩性骨折微创治疗围手术期的应用效果  

Effect of Enhanced Recovery After Surgery Nursing During Perioperative of Minimally Invasive Treatment for Thoracolumbar Compression Fractures

作　　者：胡丹娴 HU Danxianst(Department of Orthopaedics 1 and 4th,Sanshui Hospital,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院三水医院骨一骨四科,广东佛山528000

出　　处：《中国伤残医学》2024年第23期151-155,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：佛山市“十四五”高水平医学重点专科(中医类别)、佛山市“十四五”中医重点专科、三水区“十四五”医学重点专科——骨伤科(ZDZKJS09)。

摘　　要：目的:探讨快速康复外科护理应用于胸腰椎压缩性骨折微创治疗围术期的效果。方法:选取2023年12月—2024年7月佛山市中医院三水医院收治的100例胸腰椎压缩性骨折患者为研究对象,采用随机数字表法将其分为对照组及观察组,各50例。两组患者均接受微创治疗,对照组采用常规护理,观察组采用快速康复外科护理。比较两组腰椎功能、疼痛评分、生活水平、睡眠质量及护理质量。结果:护理后3d、7d、1个月,观察组的日本骨科协会腰椎功能评分均高于对照组,差异均有统计学意义(P<0.05)。护理后3d、7d、1个月,观察组的疼痛视觉模拟评分法评分均低于对照组,差异均有统计学意义(P<0.05)。护理后1个月,观察组的健康调查简表中各项评分均高于对照组,差异均有统计学意义(P<0.05)。护理后1个月,观察组的匹兹堡睡眠质量指数中各项评分均低于对照组,差异均有统计学意义(P<0.05)。观察组的护理质量量表中各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:胸腰椎压缩性骨折微创治疗患者接受快速康复外科护理,可加速腰椎功能恢复,减轻疼痛,提高生活水平,改善其睡眠质量,护理质量较高,具有一定的临床应用价值。Objective:To investigate the effect of enhanced recovery after surgery nursing during perioperative of minimally invasive treatment for thoracolumbar compression.Methods:A total of 100 patients with thoracolumbar compression fracture admitted to Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine from December 2023 to July 2024 were selected as the study objects,and were divided into a control group and an observation group by random number table,with 50 cases in each group.Both groups received minimally invasive treatment,the control group received routine nursing,and the observation group received enhanced recovery after surgery nursing.The lumbar function,pain score,living standard,sleep quality and nursing quality were compared between the two groups.Results:3 days,7 days and 1 month after nursing,the Japanese Orthopaedic Association lumbar function scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).3 days,7 days and 1 month after nursing,the Pain Visual Analogue scale scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).1 month after nursing,all scores in the MOS item Short From Health Survey of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).1 month after nursing,the scores of Pittsburgh Sleep Quality Index in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of nursing quality scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Minimally invasive treatment of thoracolumbar compression fracture patients receiving enhanced recovery after surgery nursing can accelerate the recovery of lumbar function,reduce pain,improve living standards and sleep quality,the nursing quality is high,and

关 键 词：胸腰椎压缩性骨折 微创治疗 快速康复外科护理 腰椎功能 疼痛评分 生活水平 睡眠质量 护理质量 

分 类 号：R473[医药卫生—护理学]