摘要
目的探讨四等级功能活动评分法(FAS)在骨科颈椎后路双开门椎管成形术患者术后轴性疼痛管理中的应用效果.方法选取2020年5月—2022年4月我院收治的88例行颈椎后路双开门椎管成形术的患者为研究对象,按随机数字表法分为两组,每组44例.对照组采用常规护理,观察组在对照组基础上采用基于FAS的疼痛管理,均持续7 d.对比两组患者的术后轴性疼痛程度、应激反应、锻炼依从性及疼痛控制满意度.结果术后6 h,两组的疼痛视觉模拟评分(VAS)比较,差异无统计学意义(P>0.05);术后7 d,观察组的VAS评分为(1.54±0.36)分,低于对照组的(2.45±0.68)分,差异有统计学意义(P<0.05).术后6 h,两组的各项应激反应指标水平比较,组间差异无统计学意义(P>0.05);术后7 d,观察组的呼吸频率、心率、收缩压、舒张压分别为(17.47±2.01)次/min、(72.20±5.43)次/min、(110.49±5.74)mmHg、(66.32±4.45)mmHg,均低于对照组的(20.39±2.11)次/min、(77.14±5.57)次/min、(116.27±5.61)mmHg、(70.36±4.28)mmHg,组间差异有统计学意义(P<0.05).观察组的锻炼依从性为93.18%,高于对照组的77.27%,差异有统计学意义(P<0.05).观察组的疼痛控制满意度为95.45%,高于对照组的81.82%,差异有统计学意义(P<0.05).结论基于FAS的疼痛管理在骨科颈椎后路双开门椎管成形术后患者中的应用效果显著,可有效减轻术后轴性疼痛及生理应激反应,提高疼痛控制满意度,利于功能锻炼的开展.
Objective To investigate the application of four grade functional activity score(FAS)in the management of postoperative axial pain in patients undergoing orthopedic double-door posterior cervical arthroplasty.Methods A total of 88 patients with orthopedic double-door posterior cervical arthroplasty admitted to the hospital from May 2020 to April 2022 were selected as the research objects and were divided into two groups according to random number table method,with 44 cases in each group.The control group received routine nursing,and the observation group received FAS based pain management on the basis of control group.Both groups lasted for 7 days.The degree of axial pain,stress response,exercise compliance and satisfaction with pain control were compared between the two groups.Results 6 h after surgery,there was no significant difference in pain visual analog scale(VAS)score between the two groups(P>0.05);7 days after surgery,the VAS score of the observation group was(1.54±0.36)points,which was lower than(2.45±0.68)points of the control group,and the difference was statistically significant(P<0.05).6 h after surgery,there were no significant differences in the levels of various stress response indexes between the two groups(P>0.05);7 days after surgery,the respiratory rate,heart rate,systolic blood pressure and diastolic blood pressure of the observation group were(17.47±2.01)times/min,(72.20±5.43)times/min,(110.49±5.74)mmHg and(66.32±4.45)mmHg,respectively,which were lower than(20.39±2.11)times/min,(77.14±5.57)times/min,(116.27±5.61)mmHg,(70.36±4.28)mmHg of the control group,and the differences between the groups were statistically significant(P<0.05).The exercise compliance of the observation group was 93.18%,which was higher than 77.27%of the control group,the difference was statistically significant(P<0.05).The satisfaction of pain control in the observation group was 95.45%,which was higher than 81.82%in the control group,the difference was statistically significant(P<0.05).Conclusion The application of FAS based pain management in patients after orthopedic posterior double-door cervical arthroplasty has significant effects,which can effectively reduce postoperative axial pain and physiological stress response,improve the satisfaction of pain control,and facilitate the development of functional exercise.
作者
邢士瑜
宋新
XING Shiyu;SONG Xin(Department of Outpatient,Lanling County People's Hospital,Linyi Shandong,276000,China;Department of Orthopedics for Trauma,Lanling County People's Hospital,Linyi Shandong,276000,China)
出处
《反射疗法与康复医学》
2022年第20期85-88,98,共5页
Reflexology And Rehabilitation Medicine
关键词
颈椎后路双开门椎管成形术
四等级功能活动评分法
轴性疼痛
应激反应
Orthopedic double-door posterior cervical arthroplasty
Four grade functional activity scoring method
Axial pain
Stress response
作者简介
邢士瑜(1971-),女,山东临沂人,本科,主管护师,研究方向:外科护理学。
