中医特色延续性护理在腰椎间盘突出症内镜术后患者中的应用效果  

Application effect of continuous nursing with traditional Chinese medicine characteristics in LDH patients after endoscopic surgery

作　　者：王美君[1] 杜丽梅[1] 房津辉[1] WANG Mei-jun;DU Li-mei;FANG Jin-hui

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《中国疗养医学》2025年第4期44-47,共4页Chinese Journal of Convalescent Medicine

基　　金：甘肃省自然科学基金(23JRRA1681)。

摘　　要：目的 探讨中医特色延续性护理对腰椎间盘突出症(lumbar disc herniation,LDH)行经皮内镜下腰椎间盘髓核摘除术(percutaneous endoscopic lumbar discectomy,PELD)患者术后康复效果的影响。方法 将甘肃省中医院脊柱微创骨科收治的70例LDH行PELD术后患者采用信封法分为两组,经剔除后,对照组28例采用常规治疗,观察组31例在对照组的基础上予以中医特色延续性护理,连续随访至术后6个月。观察两组患者出院前及术后的疼痛、功能、生活质量的恢复情况及末次随访的护理满意度。结果 患者术后6个月,与对照组的视觉模拟评分(visual analogue scale,VAS)(1.50±0.64)分、腰椎Oswestry功能障碍指数(Oswestry disability index,ODI)(12.96±2.25)%及健康状况调查问卷(the short-from-36 health survey,SF-36)(54.42±3.17)分相比,观察组的VAS评分(0.68±0.54)分、ODI(9.81±1.56)%及SF-36评分(63.13±4.01)分显著提高,差异具有统计学意义(P<0.05)。两组护理满意度比较,差异无统计学意义(P>0.05)。结论 中医特色延续性护理干预能够显著提高LDH患者PELD术后疼痛、功能及生活质量的恢复效果,具有一定的患者认可度。Objective To investigate the effect of continuous nursing with traditional Chinese medicine characteristics on the postoperative rehabilitation of patients with lumbar disc herniation(LDH)undergoing percutaneous endoscopic lumbar discectomy(PELD).Methods 70 patients with LDH after PELD surgery admitted to the Spinal Minimally Invasive Orthopedics Department of Gansu Provincial Hospital of Traditional Chinese Medicine were divided into two groups using the envelope method.After exclusion,28 patients in the control group received conventional treatment,while 31 patients in the observation group received continuous nursing with traditional Chinese medicine characteristics on the basis of the control group.They were followed up continuously until 6 months after surgery.The recovery of pain,function,and quality of life of the two groups of patients before discharge and after surgery,as well as the nursing satisfaction at the last follow-up,were observed.Results 6 months after surgery,compared with the visual analogue scale(VAS)score(1.50±0.64),the lumbar Oswestry disability index(ODI)(12.96±2.25)%,and the short-from-36 health survey(SF-36)score(54.42±3.17)in the control group,VAS score(0.68±0.54),ODI score(9.81±1.56)%and SF-36 score(63.13±4.01)in the observation group were significantly increased,and the differences were statistically significant(P<0.05).There was no difference of statistical significance in nursing satisfaction between the two groups(P>0.05).Conclusion Continuous nursing intervention with traditional Chinese medicine characteristics can significantly improve the recovery effect of postoperative pain,function and quality of life in LDH patients after PELD,and has a certain degree of patient recognition.

关 键 词：中医特色护理 延续性护理 腰椎间盘突出症 经皮内镜下腰椎间盘髓核摘除术 

分 类 号：R248.2[医药卫生—中医临床基础]