摘要
目的探讨康复护理措施在脊柱微创手术患者中的应用效果。方法方便选择2018年4月—2020年3月于该院行脊柱微创手术治疗的80例脊柱骨折患者作为研究对象,以随机数表法将其分为两组,即研究组与对照组,各40例。两组均行脊柱微创手术治疗,对照组采取常规护理措施,研究组在此基础上应用康复护理。对比两组术后首次离床活动时间与住院时间,以及两组术后并发症情况(包括肺部感染、便秘、创口感染、下肢静脉血栓、压力性损伤等)。结果研究组术后首次离床活动时间为(8.2±2.2)d,对照组(13.3±2.3)d;研究组住院时间(11.0±2.0)d,对照组(16.5±1.6)d。研究组术后首次离床活动时间与住院时间均低于对照组,差异有统计学意义(t=10.134、13.581,P<0.001)。研究组术后并发症发生率为2.50%低于对照组17.50%,差异有统计学意义(χ^(2)=5.000,P<0.05)。结论康复护理措施在脊柱微创手术患者中具有显著的应用效果,可以有效加快患者的康复进程,降低术后并发症概率,保障术后康复效果。
Objective To explore the effect of rehabilitation nursing measures in patients with minimally invasive spinal surgery.Methods It is convenient to select Eighty patients with spinal fractures who underwent minimally invasive spinal surgery in the hospital from April 2018 to March 2020 were selected as the research objects,and they were divided into two groups by random number table method,namely the study group and the control group,40 cases in each group.Both groups underwent minimally invasive spinal surgery,the control group took conventional nursing measures,and the study group applied rehabilitation nursing on this basis.The time to get out of bed for the first time after surgery and the length of hospital stay were compared between the two groups,as well as the postoperative complications(including lung infection,constipation,wound infection,lower extremity vein thrombosis,pressure sores,etc.).Results The first time to get out of bed after operation was(8.2±2.2)d in the study group and(13.3±2.3)d in the control group;the hospital stay in the study group was(11.0±2.0)d and the control group was(16.5±1.6)d.The time of first getting out of bed and the length of stay in the study group were lower than those of the control group,the difference was statistically significant(t=10.134,13.581,P<0.001).The postoperative complication rate of the study group was 2.50%lower than that of the control group 17.50%,the difference was statistically significant(χ^(2)=5.000,P<0.05).Conclusion Rehabilitation nursing measures have a significant application effect in patients with minimally invasive spinal surgery,which can effectively speed up the rehabilitation process of patients,reduce the probability of postoperative complications,and ensure postoperative rehabilitation effects.
作者
刘晨
杨晓萍
LIU Chen;YANG Xiaoping(Department of Gastroenterology and Rheumatology,Tai'an District,960th Hospital of PLA,Tai'an,Shandong Province,271000 China)
出处
《中外医疗》
2021年第13期116-118,122,共4页
China & Foreign Medical Treatment
关键词
康复护理
脊柱
微创手术
离床活动时间
住院时间
并发症
Rehabilitation care
Spine
Minimally invasive surgery
Time of getting out of bed
Length of hospital stay
Complications
