[1]曹文霞,黄华平.阶梯式康复护理对腰椎间盘突出微创护理效果研究[J].医学信息,2021,34(14):187-189.[doi:10.3969/j.issn.1006-1959.2021.14.054]
　CAO Wen-xia,HUANG Hua-ping.Study on the Effect of Step-type Rehabilitation Nursing on Minimally Invasive Nursing of Lumbar Intervertebral Disc Protrusion[J].Medical Information,2021,34(14):187-189.[doi:10.3969/j.issn.1006-1959.2021.14.054]
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阶梯式康复护理对腰椎间盘突出微创护理效果研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年14期
页码:
187-189
栏目:
护理研究
出版日期:
2021-07-15

文章信息/Info

Title:
Study on the Effect of Step-type Rehabilitation Nursing on Minimally Invasive Nursing of Lumbar Intervertebral Disc Protrusion
文章编号:
1006-1959（2021）14-0187-03
作者:
曹文霞; 黄华平
（都昌县人民医院中医康复疼痛科，江西 都昌 332600）
Author(s):
CAO Wen-xia; HUANG Hua-ping
(Department of Traditional Chinese Medicine Rehabilitation Pain,Duchang County People’s Hospital,Duchang 332600,Jiangxi,China)
关键词:
腰椎间盘突出; 阶梯式康复护理; 微创护理; 腰椎功能
Keywords:
Lumbar disc herniation; Stepped rehabilitation nursing; Minimally invasive nursing; Lumbar function
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2021.14.054
文献标志码:
A
摘要:
目的 研究阶梯式康复护理干预对腰椎间盘突出微创护理应用效果及预后的影响。方法 选取2016年12月~2019年12月在我院诊治的86例微创腰椎间盘突出患者为研究对象，采用随机数字表法分为观察组和对照组，各43例。对照组采用常规护理，观察组实施阶梯式康复护理干预，观察比较两组术后康复情况（下床活动时间、住院时间）、疼痛（VAS评分）、腰椎功能（JOA评分）、生活质量（SF-36评分）以及并发症发生率。结果 观察组下床活动时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）；干预后，两组VAS评分均低于干预前，JOA评分均高于干预前，且观察组优于对照组，差异有统计学意义（P＜0.05）；干预后，两组心理健康、社会功能、活力、躯体功能评分均高于干预前，且观察组高于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为4.65%，低于对照组的11.62%，差异有统计学意义（P＜0.05）。结论 阶梯式康复护理干预可促进腰椎间盘突出微创治疗患者康复，缩短住院时间，提高腰椎功能评分，降低疼痛评分，改善患者生活质量，降低并发症发生率，促进良好预后形成。
Abstract:
Objective To study the effect of stepwise rehabilitation nursing intervention on the application effect and prognosis of minimally invasive nursing for lumbar intervertebral disc herniation.Methods A total of 86 patients with minimally invasive lumbar disc herniation who were diagnosed and treated in our hospital from December 2016 to December 2019 were selected as the research objects. They were divided into observation group and control group by random number table method, with 43 cases in each group.The control group received routine nursing care, and the observation group implemented stepwise rehabilitation nursing intervention.The postoperative rehabilitation (time out of bed, length of hospital stay), pain (VAS score), lumbar function (JOA score), quality of life (SF-36 score), and the incidence of complications were observed and compared between the two groups.Results The time of getting out of bed and the length of stay in the observation group were shorter than those in the control group,the difference was statistically significant(P＜0.05);After the intervention, the VAS scores of the two groups were lower than those before the intervention, and the JOA scores were higher than those before the intervention, and the observation group was better than the control group, the difference was statistically significant (P＜0.05);After the intervention, the mental health, social function, vitality, and physical function scores of the two groups were higher than those before the intervention, and the observation group was higher than the control group, the difference was statistically significant (P＜0.05);The incidence of complications in the observation group was 4.65%, which was lower than 11.62% in the control group,the difference was statistically significant(P＜0.05).Conclusion Stepwise rehabilitation nursing intervention can promote the recovery of patients with minimally invasive treatment of lumbar disc herniation, shorten the hospital stay, improve the lumbar function score, reduce the pain score, improve the quality of life of patients, reduce the incidence of complications, and promote a good prognosis.

参考文献/References:

[1]李小容.阶梯式康复护理干预对微创腰椎间盘突出患者术后恢复的影响[J].吉林医学,2014,35(27):6156-6157. [2]陈丽菁.阶梯式康复护理干预在微创腰椎间盘突出患者术后功能恢复中的应用效果[J].护理实践与研究,2017,14(24):157-158. [3]马丽红.阶梯式康复护理干预措施在腰椎间盘突出微创护理中的应用效果及预后中的应用分析[J].实用临床医药杂志,2017,21(10):84-86,90. [4]宋朋.微创腰椎间盘突出患者术后恢复中应用阶梯式康复护理干预的效果观察[J].中外医学研究,2015,13(19):101-103. [5]许琼瑜,陈捷,蓝素文,等.自我效能干预对腰椎间盘突出症康复治疗患者负性情绪及疼痛程度的影响[J].护理实践与研究,2014,11(8):4-5. [6]张孝云,张梅芳.中药熏蒸改善腰椎间盘突出症患者腰腿痛的效果评价[J].当代护士(下旬刊),2019,26(3):1-3. [7]Akinduro OO,Kerezoudis P,Alvi MA,et al.Open versus mini- mally invasive surgery for extraforaminal lumbar disk herniation:a systematic review and meta-analysis[J].World Neurosurg,2017(108):924-938. [8]柯玉娥.微创手术治疗腰椎间盘突出症的疗效观察及护理[J].中国实用神经疾病杂志,2015,18(11):138-139. [9]王丽,赵娟,许吟颖.微创治疗腰椎间盘突出的阶梯式康复护理干预[J].中西医结合护理(中英文),2018,4(5):137-140. [10]马高琼,胡桂莲,张燕,等.CT监测下微创手术治疗腰椎间盘突出症中快速康复外科护理的应用[J].当代医学,2018,24(3):161-163. [11]李静.功能康复护理对腰椎间盘突出症手术治疗患者的临床效果研究[J].临床护理杂志,2017,16(4):34-36. [12]Hubbe U,Franco-Jimenez P,Klingler JH,et al.Minimally inva- sive tubular microdiscectomy for recurrent lumbar disc herniation[J].J Neurosurg Spine,2016,24(1):48-53. [13]于文红,庞克慧.疼痛和情绪管理结合康复路径指引在微创腰椎间盘突出症患者中的应用[J].护士进修杂志,2016,31(8):708-710. [14]马兰,陈芳,冯玲,等.延续性康复护理对腰椎间盘突出症患者微创术后康复的影响[J].中华现代护理杂志,2017,23(3):368-371. [15]胡晓红,韩梅,刘媛,等.阶段性护理干预对腰椎间盘突出患者微创术后恢复的影响[J].临床医学研究与实践,2016,1(2):80-81.

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更新日期/Last Update: 1900-01-01