【摘要】 目的 探讨阶梯式康复护理联合疼痛干预对椎间孔镜术后患者疼痛及功能恢复的影响。方法 选取2019年7月至2021年7月于我院接受椎间孔镜手术治疗的106例腰椎间盘突出症（LDH）患者为研究对象，采用电脑盲选法将其以1∶1的比例分为对照组和研究组，各53例。对照组给予常规护理，研究组在对照组基础上给予阶梯式康复护理联合疼痛干预。比较两组的康复依从性、疼痛介质水平、腰椎功能及疼痛情况、康复效果和护理满意度。结果 研究组的康复总依从率为94.34%，高于对照组的77.36%，差异具有统计学意义（P<0.05）。术后24 h，研究组的前列腺素E2(PGE2)、神经肽Y(NPY)、5-羟色胺（5-HT）及β内啡肽（β-EP）水平低于对照组，差异具有统计学意义（P<0.05）。术后2个月，研究组的Roland-Morris功能障碍调查表（RMQ）、视觉模拟评分法（VAS）及Oswestry功能障碍指数（ODI）评分均低于对照组，差异具有统计学意义（P<0.05）。研究组的康复优良率为94.34%，高于对照组的79.25%，差异具有统计学意义（P<0.05）。研究组的护理总满意率为96.23%，高于对照组的81.13%，差异具有统计学意义（P<0.05）。结论 阶梯式康复护理联合疼痛干预可有效提高椎间孔镜术后患者的康复依从性，缓解术后疼痛，改善患者腰椎功能，从而提高康复效果及护理满意度，值得临床推广应用。更多还原

【Abstract】 Objective To explore the effects of stepwise rehabilitation nursing combined with pain intervention on pain and functional recovery of patients after transforaminal endoscopic surgery. Methods A total of 106 lumbar disc herniation(LDH) patients who underwent transforaminal endoscopic surgery in our hospital from July 2019 to July 2021 were selected as the research objects. The patients were divided into control group and study group by computer blind selection method at a ratio of 1∶1, with 53 cases in each group. The control group was given routine nursing, and the study group was given stepwise rehabilitation nursing combined with pain intervention on the basis of the control group. The rehabilitation compliance, pain mediums levels, lumbar function and pain, rehabilitation effect and nursing satisfaction were compared between the two groups. Results The total rehabilitation compliance rate of the study group was 94.34%, which was higher than 77.36% of the control group, and the difference was statistically significant(P<0.05). At 24 h after surgery, the levels of prostaglandin E2(PGE2), neuropeptide Y(NPY), 5-hydroxytryptamine(5-HT) and β-endorphin(β-EP) in the study group were lower than those in the control group, and the differences were statistically significant(P<0.05). Two months after surgery, the scores of Roland-Morris Disability Questionnaire(RMQ), Visual Analogue Score(VAS) and Oswestry Disability Index(ODI) in the study group were lower than those in the control group, and the differences were statistically significant(P<0.05). The excellent and good rate of rehabilitation in the study group was 94.34%, which was higher than79.25% in the control group, and the difference was statistically significant(P<0.05). The total nursing satisfaction rate of the study group was 96.23%, which was higher than 81.13% of the control group, and the difference was statistically significant(P<0.05). Conclusion Stepwise rehabilitation nursing combined with pain intervention can effectively improve the rehabilitation compliance of patients after transforaminal endoscopic surgery, relieve postoperative pain, improve the lumbar function of patients, so as to improve the rehabilitation effect and nursing satisfaction. It is worthy of clinical promotion and application.更多还原