【摘要】 目的分析快速康复护理在经皮椎间孔镜治疗腰椎间盘突出症中的应用效果。方法该院2016年1月—2017年9月收治的腰椎间盘突出症患者中,方便选取采取经皮椎间孔镜治疗的80例进行研究分析,将80例患者分为实验组和对照组,对照组患者采取常规护理,实验组患者采取快速康复护理,对比两组患者的住院时间和生活质量评分等。结果实验组患者的平均住院时间为(5.24±1.21)d,对照组患者的平均住院时间为(7.54±1.35)d,实验组患者的平均住院时间明显低于对照组,差异有统计学意义(t=3.365 2,P<0.05)。实验组患者的生活质量各项评分明显高于对照组,实验组患者的躯体功能评分为(95.26±5.36)分、精神状态评分为(94.16±4.58)分、行为能力评分为(94.82±4.58)分、认知能力评分为(96.62±3.25)分,对照组患者的躯体功能评分为(80.51±3.62)、精神状态评分为(81.41±4.16)分、行为能力评分为(81.69±4.53)分、认知能力评分为(80.69±6.51),差异有统计学意义(P<0.05)。实验组手术后第2天和第3天的SAS评分分别为(3.74±0.62)分,(2.21±0.42)分,对照组手术后第2天和第3天的SAS评分分别为(4.58±0.62)分(4.16±0.65)分,实验组患者的SAS评分明显优于对照组,差异有统计学意义(t=6.632 5、4.0325,P<0.05)。结论为采取经皮椎间孔镜治疗腰椎间盘突出症患者采取快速发康复护理,要秉承以人为本的护理原则,护理人员要拉近与患者的距离,提高患者对临床护理的依从性,缩短患者的住院时间,提高临床护理效果。更多还原

【Abstract】 Objective To analyze the application effect of rapid rehabilitation nursing in the percutaneous transforaminal endoscopy in treatment of prolapse of lumbar intervertebral disc. Methods 80 cases of patients treated with percutaneous transforaminal endoscopy admitted and treated in our hospital from January 2016 to September 2017 were convenient selected, the control group used the routine nursing, while the experimental group used the rapid rehabilitation nursing, and the length of stay and quality of life score were compared between the two groups. Results The average length of stay in the experimental group was obviously lower than that in the control group(5.24±1.21) d vs(7.54±1.35)d, and the difference was statistically significant(t=3.365 2,P<0.05), and various scores of quality of life in the experimental group were obviously higher than those in the control group, and the somatic function score, mental state score, and behavior ability score, cognitive ability score in the experimental group and in the control group were respectively(95.26 ±5.36)points,(94.16 ±4.58)points,(94.82 ±4.58)points,(96.62 ±3.25)points and(80.51 ±3.62)points,(81.41 ±4.16)points,(81.69 ±4.53)points,(80.69 ±6.51)points, and the differences were statistically significant(P<0.05), and the SAS scores in 2 d and 3 d after surgery in the experimental group and in the control group were respectively(3.74±0.62)points,(2.21±0.42)points and(4.58±0.62)points,(4.16±0.65)points, and the SAS score in the experimental group was obviously better than that in the control group, and the difference was statistically significant(t=6.632 5,4.032 5,P<0.05). Conclusion The percutaneous transforaminal endoscopy in treatment of prolapse of lumbar intervertebral disc should adhere to the people-oriented principle, and the nursing staff should make contact with the patients, improve the compliance to the clinical nursing, shorten the length of stay and improve the clinical nursing effect.更多还原