【摘要】 目的 ：评价院前预康复在老年腰椎后路长节段手术患者中的应用效果。方法 ：根据就诊先后顺序将2020年1月至2021年6月接受腰椎后路长节段手术治疗的81例老年患者分为对照组（40例）及实验组（41例）。对照组接受常规术前准备，实验组在对照组基础上接受院前预康复干预。比较两组干预前后6分钟步行试验结果、血清白蛋白水平、焦虑评分、胸腰背部功能、疼痛评分和术后部分常见并发症的发生率。结果 ：干预后，两组患者6分钟步行试验结果、血清白蛋白水平、焦虑评分、胸腰背部功能、疼痛评分的组间主效应差异和时间主效应差异均有统计学意义（P<0.05），组间因素与时间因素存在交互作用（P<0.05），实验组的评价结果优于对照组；实验组术后便秘的发生率低于对照组，差异有统计学意义（P<0.05），两组术后静脉血栓栓塞症、手术切口感染、肺部感染的发生率差异无统计学意义（P>0.05）。结论 ：院前预康复能有效改善老年腰椎手术患者围手术期的生理、心理功能，降低胸腰背部功能障碍和疼痛程度。更多还原

【Abstract】 Objective: To investigate the effects of pre-rehabilitation before hospitalization in older patients with posterior long-segment lumbar surgery. Methods: According to the admission date, eighty-one older patients who received posterior long-segment lumbar surgery from January 2020 to June 2021 were assigned to the control group(n=40) and the interventional group(n=41). Patients in the control group received routine preoperative preparation, while patients in the interventional group received pre-rehabilitation intervention before hospitalization besides the preoperative preparation. The results of a 6-Minute Walk Test, serum albumin, anxiety, back function, pain, and incidences of some common postoperative complications were compared between the two groups. Results: After the intervention, it was showed that the main effect difference and the time main effect difference of the 6-Minute Walk Test, serum albumin, anxiety, back function and pain of patients in the two groups were statistically significant(P<0.05). There was an interaction between the intervention factor and the time factor(P<0.05). The incidence of postoperative constipation in the interventional group was lower than that in the control group(P<0.05). There were no differences regarding the occurrence of postoperative Venous Thromboembolism,incision infection and lung infection between the two groups(P>0.05). Conclusion: Pre-rehabilitation before hospitalization can effectively improve the physiological and psychological functions of older patients with posterior long-segment lumbar surgery during the perioperative period, and reduce the dysfunction and pain of back.更多还原