快速康复外科理念在退变性腰椎侧凸患者长节段固定融合术围术期的应用效果
摘要
目的观察应用快速康复外科理念在退变性腰椎侧凸患者长节段固定融合术围术期的效果。方法将退变性腰椎侧凸患者70例按入院时间分为快速康复组和对照组各35例。对照组采用传统围手术期护理措施,快速康复组采用快速康复外科围手术期护理理念。比较2组术后垫枕头时间、进食时间、开始活动时间、住院时间、患者满意度及术后并发症发生情况。结果快速康复组术后垫枕头时间、进食时间、开始活动时间及住院时间明显短于对照组,患者满意度明显优于对照组,术后并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论快速康复外科护理理念在长节段固定融合术治疗退变性腰椎侧凸患者中的应用是安全、有效的,能更好地促进患者早日康复,明显缩短住院时间,提高患者满意度并降低并发症发生率,值得临床推广应用。
引文
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[15] 刘进衡,王妍亭,陈安平,等.加速康复外科策略在腹腔镜术中联合内镜行鼻胆管引流术的围手术期研究[J].河北医科大学学报,2018,39(10):1174-1178.
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[2] Faldini C,Di Martino A,Borghi R,et al. Long vs. short fusions for adult lumbar degenerative scoliosis:does balance matters?[J]. Eur Spine J,2015,24(Suppl 7):S887-892.
[3] 寇福新,孙常太.退行性腰椎管狭窄症的治疗进展[J].中国脊柱脊髓杂志,2013,23(8):756-759.
[4] 侯东坡,海涌,康南.退变性脊柱侧凸长节段固定融合端椎选择的研究进展[J].中国脊柱脊髓杂志,2017,27(6):557-560.
[5] Wang G,Hu J,Liu X,et al. Surgical treatments for degenerative lumbar scoliosis:a meta analysis [J]. Eur Spine J,2015,24(8):1792-1799.
[6] Bao H,Zhu F,Liu Z,et al. Coronal curvature and spinal imbalance in degenerative lumbar scoliosis:disc degeneration is associated[J]. Spine(Phila Pa 1976),2014,39(24):E1441-1447.
[7] Kleinstueck FS,Fekete TF,Jeszenszky D,et al. Adult degenerative scoliosis:comparison of patient-rated outcome after three different surgical treatments [J]. Eur Spine J,2016,25(8):2649-2656.
[8] Frontera D,Arena L,Corsale I,et al. Fast track in colo-rectal surgery. Preliminary experience in a rural hospital [J]. G Chir,2014,35(11/12):293-301.
[9] Chen S,Zou Z,Chen F,et al. A meta-analysis of fast track surgery for patients with gastric cancer undergoing gastrectomy [J]. Ann R Coll Surg Engl,2015,97(1):3-10.
[10] Illingworth KD,Rahman R.Adult degenerative scoliosis:determination of fusion and decompression parameter [J].Semin Spine Surg,2015,27(3):122-125.
[11] Zong SJ,Wang F,Hu SL. Total hip replacement for developmental dysplasia of hip and postoperative nursing[J]. J Biol Regul Homeos Agents,2016,30(1):173-179.
[12] 陈志,李金龙,于浩达,等.快速康复理念运用于初次全髋关节置换术的有效胜评价[J].实用骨科杂志,2016,22(7):586-590.
[13] 刘颖,曹克菲,丁文羽.探讨快速康复外科护理措施在创伤骨科患者围手术期的应用[J].齐齐哈尔医学院学报,2015,36(28):4319-4320.
[14] 丁娓.快速康复理念在髋关节置换术围手术期护理中的运用效果[J].护理实践与研究,2017,14(24):56-58.
[15] 刘进衡,王妍亭,陈安平,等.加速康复外科策略在腹腔镜术中联合内镜行鼻胆管引流术的围手术期研究[J].河北医科大学学报,2018,39(10):1174-1178.
[16] 石伟发,尹东,黄文文,等.快速康复外科下全髋关节置换术围术期血液管理研究进展[J].中国当代医药,2017,24(20):11-16.