摘要
目的评价康复路径在微创治疗腰椎间盘突出症患者术后护理中的应用效果。方法选取本院脊柱外科收治的腰椎间盘突出症患者作为研究对象,共入选患者120例,根据入院顺序,采用随机对照分组方法,常规组和路径组各60例,分别采用常规术后护理以及路径康复,对比疗效指标、院内院外康复训练落实情况。结果路径组与常规组住院时间、并发症差异无统计学意义(P>0.05),路径组住院期间完成的直腿抬高训练组数、踝关节背伸屈曲训练组数、五点支撑法组数、飞燕训练组数高于常规组,治疗后路径组与常规组ODI、VAS评分低于治疗前,路径组ODI低于常规组,路径组院外康复完全做到率、做到合计率高于常规组,差异有统计学意义(P<0.05)。结论微创治疗腰椎间盘突出症患者术后护理中应用康复路径,尽管不能缩短住院时间,也不能降低并发症发生率,但可增进功能恢复效果,减轻腰痛,提高院内以及院外训练落实量。
Objective To evaluate the effect of rehabilitation therapy on postoperative nurs- ing of patients with lumbar disc herniation. Methods A total of 120 lumbar disc herniation patients with lumbar spine surgery were as research objects, and were randomly divided into conventional group and pathway group with 60 cases in each group according to the order of admission, given rou- tine nursing and pathway rehabilitation, the implementation of rehabilitation training and indicators were compared. Results The pathway group and the conventional group had no significant difference in hospitalization time, and complications （ P 〉 0.05 ） ; Straight leg raising training sets, ankle dorsi- flexion flexion training sets, five point support group sets, swallow training group sets in pathway group during hospitalization were higher than the conventional group, ODI and VAS scores in two groups were lower than before treatment, and ODI score in the pathway group was lower than the con- ventional group. Complete rate, and partial rate were higher than that of the conventional group, the differences were statistically significant （ P 〈 0.05 ）. Conclusion Postoperative nursing of lumbar disc herniation patients with minimally invasive treatment can shorten hospitalization time, reduce the incidence of complications, promote functional recovery, reduce pain, improve rehabilitation efficacy.
出处
《实用临床医药杂志》
CAS
2017年第10期80-83,共4页
Journal of Clinical Medicine in Practice
关键词
腰椎间盘突出症
微创疗法
康复护理
临床路径
lumbar disc herniation
minimally invasive therapy
rehabilitation nursing
clinical pathway
作者简介
通信作者：汪珍，E—mail：wangzhen_8023@yeah．net
