快速康复外科理念在脊柱微创手术围手术期护理中的应用研究
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摘要
目的:探讨脊柱微创手术围手术期引入快速康复外科理念临床价值。方法:选择脊柱微创手术患者62例,均为本院脊柱外科2014年1月-2017年12月收治,按照随机数字表法分为两组,每组各31例。观察组于围手术期引入快速康复外科理念,对照组行常规护理,比较两组患者的疼痛程度、腰椎功能恢复程度、住院时间、并发症发生率等。结果:观察组术后疼痛评分低于对照组,腰椎功能评分高于对照组,住院时间少于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:脊柱微创外科手术围手术期引入快速康复外科理念,可显著缓解疼痛,促进腰椎功能恢复,缩短病程,提高手术安全性。
Objective:To investigate the clinical value of the introduction of rapid rehabilitation surgery in the perioperative period of minimally invasive surgery of the spine.Method:Sixty-two patients with minimally invasive surgery were selected.All of them were admitted to our Department of Spine Surgery from January 2014 to December 2017.According to the random number table method,the patients were divided into two groups,31 cases in each group.The observation group was given the concept of rapid rehabilitation surgery during the perioperative period,the control group was given routine care.The pain level,degree of lumbar function recovery,length of hospital stay,complication rate of two groups were compared.Result:The postoperative pain score of the observation group was lower than that of the control group,the lumbar function score was higher than that of the control group,the hospitalization time was lower than that of the control group,and the complication rate was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The introduction of rapid rehabilitation surgery in the perioperative period of spinal micro surgery can significantly relieve pain,promote the recovery of lumbar function,shorten the course of disease and improve the safety of surgery.
Objective:To investigate the clinical value of the introduction of rapid rehabilitation surgery in the perioperative period of minimally invasive surgery of the spine.Method:Sixty-two patients with minimally invasive surgery were selected.All of them were admitted to our Department of Spine Surgery from January 2014 to December 2017.According to the random number table method,the patients were divided into two groups,31 cases in each group.The observation group was given the concept of rapid rehabilitation surgery during the perioperative period,the control group was given routine care.The pain level,degree of lumbar function recovery,length of hospital stay,complication rate of two groups were compared.Result:The postoperative pain score of the observation group was lower than that of the control group,the lumbar function score was higher than that of the control group,the hospitalization time was lower than that of the control group,and the complication rate was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The introduction of rapid rehabilitation surgery in the perioperative period of spinal micro surgery can significantly relieve pain,promote the recovery of lumbar function,shorten the course of disease and improve the safety of surgery.
引文
[1]中国加速康复外科专家组.中国加速康复外科围手术期管理专家共识(2016)[J].中华外科杂志,2016,54(6):413-418.
[2]苏长英,叶爱琴,安原,等.快速康复外科护理在腰椎间盘突出症脊椎微创手术中的对照研究[J].当代护士(下旬刊),2017,24(1):6-8.
[3]张立妍.快速康复外科护理对微创手术的脊柱骨折患者的影响[J].中国民康医学,2018,30(9):126-127.
[4]罗琨,袁凌,丁巧俊.快速康复外科护理模式在腰椎退行性疾病围手术期的应用[J].安徽医药,2018,22(8):1617-1620.
[5]吴可可,杨弛.医护康一体化的快速康复模式在脊柱外科围术期护理中的研究[J].全科护理,2016,14(6):592-594.
[6]张亮,张莉,王莉佳,等.快速康复外科理念在椎弓根螺钉内固定治疗胸腰椎骨折围手术期护理的应用[J].中医正骨,2015,27(6):75-76.
[7]顾燕玲.快速康复外科理念在脊柱微创手术围手术期护理中的应用价值[J].实用临床护理学杂志,2017,2(44):66-69.
[8]曹燕,陈丽,李珊珊.快速康复外科理念在脊柱微创手术围手术期护理中的应用研究[J].中国继续医学教育,2017,9(14):221-223.
[9]周丽珍.骨科手术病人不同年龄的心理应激特点及护理[J].全科护理,2014,12(31):2937-2939.
[10]彭敏,张文君.护理康复外科理念在全髋关节置换围手术期管理中的应用[J].护理实践与研究,2016,10(7):24-26.
[11]田梅梅,杨柳柳,龚梅芳,等.加速康复外科理念在人工全膝关节置换患者术后护理中的应用[J].中华现代护理杂志,2016,22(29):4233-4237.
[12]潘学娟,张丽娜,姜丽,等.加速康复外科护理在椎管内肿瘤切除合并脊柱内固定患者中的应用[J].中国临床研究,2018,31(5):707-709.
[13]邓永鸿,张慧,曾子,等.加速康复外科护理对膝关节置换术患者膝关节功能影响的系统评价[J].护理学报,2017,24(12):27.
[14]洪赟.康复路径护理在80例脊柱微创手术患者中的应用分析[J].中国卫生标准管理,2017,8(18):188-190.
[15]刘宁,吴鹏,吴义刚.腰椎后路减压椎间融合内固定患者采用FTS理念治疗的临床效果[J].宁夏医科大学学报,2016,38(8):958-960.
[2]苏长英,叶爱琴,安原,等.快速康复外科护理在腰椎间盘突出症脊椎微创手术中的对照研究[J].当代护士(下旬刊),2017,24(1):6-8.
[3]张立妍.快速康复外科护理对微创手术的脊柱骨折患者的影响[J].中国民康医学,2018,30(9):126-127.
[4]罗琨,袁凌,丁巧俊.快速康复外科护理模式在腰椎退行性疾病围手术期的应用[J].安徽医药,2018,22(8):1617-1620.
[5]吴可可,杨弛.医护康一体化的快速康复模式在脊柱外科围术期护理中的研究[J].全科护理,2016,14(6):592-594.
[6]张亮,张莉,王莉佳,等.快速康复外科理念在椎弓根螺钉内固定治疗胸腰椎骨折围手术期护理的应用[J].中医正骨,2015,27(6):75-76.
[7]顾燕玲.快速康复外科理念在脊柱微创手术围手术期护理中的应用价值[J].实用临床护理学杂志,2017,2(44):66-69.
[8]曹燕,陈丽,李珊珊.快速康复外科理念在脊柱微创手术围手术期护理中的应用研究[J].中国继续医学教育,2017,9(14):221-223.
[9]周丽珍.骨科手术病人不同年龄的心理应激特点及护理[J].全科护理,2014,12(31):2937-2939.
[10]彭敏,张文君.护理康复外科理念在全髋关节置换围手术期管理中的应用[J].护理实践与研究,2016,10(7):24-26.
[11]田梅梅,杨柳柳,龚梅芳,等.加速康复外科理念在人工全膝关节置换患者术后护理中的应用[J].中华现代护理杂志,2016,22(29):4233-4237.
[12]潘学娟,张丽娜,姜丽,等.加速康复外科护理在椎管内肿瘤切除合并脊柱内固定患者中的应用[J].中国临床研究,2018,31(5):707-709.
[13]邓永鸿,张慧,曾子,等.加速康复外科护理对膝关节置换术患者膝关节功能影响的系统评价[J].护理学报,2017,24(12):27.
[14]洪赟.康复路径护理在80例脊柱微创手术患者中的应用分析[J].中国卫生标准管理,2017,8(18):188-190.
[15]刘宁,吴鹏,吴义刚.腰椎后路减压椎间融合内固定患者采用FTS理念治疗的临床效果[J].宁夏医科大学学报,2016,38(8):958-960.