基于快速康复外科理念的护理干预对经皮椎间孔镜治疗腰椎间盘突出症患者的影响
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摘要
目的探讨基于快速康复外科理念的护理干预对经皮椎间孔镜治疗腰椎间盘突出症患者的影响。方法选取2017年4月至2018年4月我院我科收治的经皮椎间孔镜治疗腰椎间盘突出症患者72例为研究对象,将其随机等分为对照组和研究组。对照组实施常规护理,研究组实施基于快速康复外科理念的护理。比较两组患者接受不同护理干预后的疼痛情况、并发症发生率及预后效果。结果研究组患者术后3 d的NRS评分低于对照组,差异有统计学意义(P <0. 05);研究组患者出院前并发症发生率低于对照组,差异有统计学意义(P <0. 05);研究组患者出院前预后效果优于对照组,差异有统计学意义(P <0. 05)。结论经皮椎间孔镜治疗腰椎间盘突出期间应用基于快速康复外科理念的护理干预,可有效缓解患者疼痛状况,降低并发症发生率,促进临床治疗效果,具有临床应用价值。
Objective To explore the effect of nursing intervention based on concept of rapid rehabilitation surgery on patients with lumbar disc herniation who were treated by percutaneous transforaminal endoscopic discectomy. Methods To select 72 cases of patients with lumbar disc herniation who were treated with percutaneous transforaminal endoscopic discectomy surgery in our hospital from April 2017 to April 2018 as the study subjects. They were divided into control group and study group with the same number of patients randomly. The control group was given routine nursing,and the study group was implemented by nursing based on the concept of rapid rehabilitation surgery. The pain,complication rate and prognosis of the two groups were compared after receiving different nursing interventions. Results The NRS scores of the study group were lower than those of the control group at 3 days after the surgery,and the difference was statistically significant( P < 0. 05). The incidence of complications in the study group before discharge was lower than that in the control group,and the difference was statistically significant( P < 0. 05). The prognosis of the study group before discharge was better than that of the control group,and the difference was statistically significant( P < 0. 05). Conclusion Applying nursing based on concept of rapid rehabilitation surgery during the treatment of lumbar disc herniation by percutaneous transforaminal endoscopic discectomy can alleviate the patient's pain effectively,and reduce the incidence of complications. Meanwhile,it can promote clinical treatment and has clinical value.
Objective To explore the effect of nursing intervention based on concept of rapid rehabilitation surgery on patients with lumbar disc herniation who were treated by percutaneous transforaminal endoscopic discectomy. Methods To select 72 cases of patients with lumbar disc herniation who were treated with percutaneous transforaminal endoscopic discectomy surgery in our hospital from April 2017 to April 2018 as the study subjects. They were divided into control group and study group with the same number of patients randomly. The control group was given routine nursing,and the study group was implemented by nursing based on the concept of rapid rehabilitation surgery. The pain,complication rate and prognosis of the two groups were compared after receiving different nursing interventions. Results The NRS scores of the study group were lower than those of the control group at 3 days after the surgery,and the difference was statistically significant( P < 0. 05). The incidence of complications in the study group before discharge was lower than that in the control group,and the difference was statistically significant( P < 0. 05). The prognosis of the study group before discharge was better than that of the control group,and the difference was statistically significant( P < 0. 05). Conclusion Applying nursing based on concept of rapid rehabilitation surgery during the treatment of lumbar disc herniation by percutaneous transforaminal endoscopic discectomy can alleviate the patient's pain effectively,and reduce the incidence of complications. Meanwhile,it can promote clinical treatment and has clinical value.
引文
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[8]任秋平,罗艳丽.多学科合作快速康复外科模式在肝癌围手术期的应用[J].华西医学,2017,32(3):400-403.
[9]李国萍,王承萍,尹芳,等.快速康复外科护理对腰椎间盘突出症患者术后并发症、肢体功能及自我效应感的影响[J].中国医药导报,2018,15(14):141-145.
[2]樊星虹.家属参与护理干预对腰椎间盘突出症患者术后康复效果的影响[J].护理实践与研究,2016,13(24):149-151.
[3]刘道阔.脊髓损伤中枢神经疼痛的评估及相关基因研究[D].石家庄:河北医科大学,2017.
[4]赖居易,何升华,孙志涛,等.经皮椎间孔镜联合针刺治疗腰椎间盘突出症临床观察[J].中华中医药杂志,2017(3):1387-1390.
[5]汤锋武,符锋,蒋显锋,等.经皮椎间孔镜单侧入路双侧减压治疗椎间盘突出致腰椎管狭窄症[J].中华神经外科杂志,2016,32(12):1234-1238.
[6]石晓云,高金宝,张三兵,等.快速康复在骨科术后患者中的临床应用进展[J].护理实践与研究,2016,13(20):29-31.
[7]李妍,姚啸生.中西医治疗腰椎间盘突出症研究概况[J].辽宁中医药大学学报,2016,18(4):231-234.
[8]任秋平,罗艳丽.多学科合作快速康复外科模式在肝癌围手术期的应用[J].华西医学,2017,32(3):400-403.
[9]李国萍,王承萍,尹芳,等.快速康复外科护理对腰椎间盘突出症患者术后并发症、肢体功能及自我效应感的影响[J].中国医药导报,2018,15(14):141-145.