摘要
目的探讨快速康复外科理念(ERAS)对颈椎病行颈椎前路术后患者康复的影响.方法选取2019年3月—2021年12月于本院行颈椎病颈椎前路手术的患者136例为研究对象,随机分为对照组与观察组,每组68例,对照组采用常规康复护理,观察组在此基础上采用ERAS护理,比较两组患者的术后康复情况.结果观察组患者的术后进食时间、下床活动时间、平均住院时间均短于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的日本骨科协会脊髓功能评分高于对照组,颈椎功能残障指数评分及疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).观察组术后6、12 h的咽喉部疼痛评分分别为(2.02±0.69)分、(1.92±0.49)分,均低于对照组,组间差异有统计学意义(P<0.05).结论ERAS可加快颈椎病颈椎前路术后患者的康复进程,减轻疼痛,值得推广.
Objective To investigate the effect of enhanced recovery after surgery(ERAS)on the rehabilitation of patients with cervical spondylosis undergoing anterior cervical surgery.Methods A total of 136 patients with cervical spondylosis who underwent anterior cervical surgery in the hospital from March 2019 to December 2021 were selected as the research objects and were randomly divided into a control group and an observation group,with 68 cases in each group.The control group received routine rehabilitation nursing,while the observation group received ERAS nursing on this basis.The postoperative rehabilitation of the two groups was compared.Results The postoperative feeding time,ambulation time and average hospital stay of the observation group were shorter than those of the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the Japanese Orthopaedic Association spinal cord function score of the observation group was higher than that of the control group,the neck disability index score and pain visual analogue score were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The throat pain scores of the observation group at 6 and 12 hours after operation were(2.02±0.69)points and(1.92±0.49)points,respectively,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion ERAS can accelerate the rehabilitation process and relieve pain in patients with cervical spondylosis after anterior cervical surgery,which is worthy of promotion.
作者
李佩霞
李涛金
梁冬霞
吴瑞萍
王笑英
LI Peixia;LI Taojin;LIANG Dongxia;WU Ruiping;WANG Xiaoying(Department of Spinal Surgery,Guangzhou Panyu Central Hospital,Guangdong Province,Guangzhou Guangdong,511400,China)
出处
《反射疗法与康复医学》
2022年第20期103-106,共4页
Reflexology And Rehabilitation Medicine
基金
番禺区科技计划项目(2020-Z04-105)。
关键词
快速康复外科理念
颈椎前路术后
康复
Enhanced recovery after surgery
Postoperative anterior cervical surgery
Recovery
作者简介
李佩霞(1976-),女,广东广州人,本科,副主任护师,研究方向:骨科护理
