摘要
目的探讨快速康复外科理念在腰椎手术围术期患者护理中的应用效果。方法选取2015年9~12月在福建省立医院骨一科住院行腰椎后路减压内固定术患者58例为研究对象,随机分为对照组和实验组,对照组采用传统腰椎手术围术期护理方式,实验组采用FTS理念指导下的腰椎手术围术期护理方式,比较两组患者在疼痛、下床时间、并发症发生情况、ADL（生活自理能力）评分、住院时间及临床疗效的差异。结果实验组患者术后垫枕头时间、进食时间、下床活动时间、住院时间均优于对照组（P〈0.05）;两组患者术后第1、3天疼痛值比较,差异有统计学意义（P〈0.05）;两组泌尿系感染、肺部感染比较,差异有统计学意义（P〈0.01）;两组双下肢静脉血栓发生率比较,差异有统计学意义（P〈0.05）;两组患者ADL（日常生活能力）评分第1、3天比较,差异有统计学意义（P〈0.05）。结论快速康复外科理念在腰椎手术患者围术期应用可明显缓解术后早期疼痛、缩短住院时间、减少腰椎术后并发症的发生,值得进一步利用和发展。
Objective To investigate the effect of fast track surgery in perioperative nursing care of patients with lumbar operation.Methods 58 patients underwent lumbar posterior decompression and internal fixation from September 2015 to December 2015 in Fujian Provincial Hospital were included,and were randomly divided into the control group and the experimental group.The control group was used the traditional lumbar perioperative nursing,the experimental group was applied FTS for perioperationg nursing of lumbar spine surgery.Pain,time of getting out of the bed,complications,activities of daily living（ADL） score,hospitalization time and clinical efficacy were applied to compared between two groups.Results Patients in the experimental group after operation for pillows time,eating time,off bed activity time,hospitalization time were better than that of control group（P〈0.05）.Pain was statistically different between two groups in the first day and third day after operation（P〈0.05）.Urinary tract infection and pulmonary infection were statistically different between two groups（P〈0.01）.The lower extremity venous thrombosis were statistically different between two groups（P〈0.05）.ADL score was statistically different between two groups in the first day and third day after operation（P〈0.05）.Conclusion Fast track surgery applied in perioperation nursing for lumbar surgery patients can significantly relieve postoperative early pain,shortening hospitalization time,reduce complications after lumbar surgery,which is worthy of promotion.
出处
《中国当代医药》
2016年第27期187-189,共3页
China Modern Medicine
关键词
快速康复外科
腰椎手术
围术期
护理
Fast track surgery
Lumbar operation
Perioperative period
Nursing
