加速康复外科理念对腰椎间盘突出症术后疼痛缓解和功能康复的影响分析  

Analysis of the Effect of Enhanced Recovery After Surgery on Postoperative Pain Relief and Functional Rehabilitation of Lumbar Disc Herniation

作　　者：谷绍芬 赵莎莎 傅小兰 吴光明 GU Shaofen;ZHAO Shasha;FU Xiaolan;WU Guangming(Department of Orthopedics and Traumatology,Fuzhou Hospital of Traditional Chinese Medicine,Fuzhou 344000,Jiangxi,China)

机构地区：[1]抚州市中医医院骨伤科,江西抚州344000

出　　处：《医学信息》2025年第8期160-162,166,共4页Journal of Medical Information

基　　金：抚州市社会发展指导性科技计划项目(编号:抚科社字20237号49)。

摘　　要：目的 研究加速康复外科理念(ERAS)对腰椎间盘突出症(LDH)患者术后疼痛缓解及功能康复的影响。方法 以2023年1月-12月抚州市中医医院拟行手术治疗的80例LDH患者为研究对象,行随机数字表法进行分组对照试验,即对照组(40例)与观察组(40例)。对照组行常规护理,观察组应用ERAS护理,比较两组康复效果、疼痛程度[视觉模拟评分(VAS)]、腰椎功能[Oswestry功能障碍指数问卷表(ODI)]、术后并发症情况。结果 观察组康复优良率高于对照组(P<0.05);两组干预后VAS、ODI评分下降,且观察组干预后VAS、ODI评分低于对照组(P<0.05);观察组术后并发症发生率低于对照组(P<0.05)。结论 ERAS护理可有效缓解LDH患者术后疼痛,改善其腰椎功能,提高康复效果,降低术后并发症风险。Objective To study the effect of enhanced recovery after surgery(ERAS) on postoperative pain relief and functional rehabilitation in patients with lumbar disc herniation(LDH).Methods A total of 80 patients with LDH who were scheduled to undergo surgical treatment in Fuzhou Hospital of Traditional Chinese Medicine from January to December 2023 were enrolled in the study.The random number table method was used to conduct a group control trial,that was,the control group(40 patients) and the observation group(40 patients).The control group received routine nursing,and the observation group received ERAS nursing.The rehabilitation effect,pain degree [Visual Analogue Scale(VAS)],lumbar function[Oswestry dysfunction index questionnaire(ODI)] and postoperative complications were compared between the two groups.Results The excellent and good rate of rehabilitation in the observation group was higher than that in the control group(P<0.05).The VAS and ODI scores of the two groups decreased after intervention,and the VAS and ODI scores of the observation group were lower than those of the control group( P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group( P <0.05).Conclusion ERAS nursing can effectively relieve postoperative pain,improve lumbar function,improve rehabilitation effect and reduce the risk of postoperative complications in patients with LDH.

关 键 词：腰椎间盘突出症 术后疼痛 加速康复外科理念 腰椎功能 

分 类 号：R473.6[医药卫生—护理学]