J Objective To analyze the clinical value of fast track surgery in perioperative nursing of minimally invasive transforaminal interbody fusion.Methods This was a randomized controlled trial.Ninety six patients treated with minimally invasive transforaminal interbody fusion in Puyang Traditional Chinese Medicine Hospital from March 2021 to October 2022 were divided into a control group and an observation group by the random number table method.The control group received routine nursing,and the observation group received fast track surgery combined with routine nursing.In the control group,there were 28 males and 20 females,aged(50.44± 6.52)years.There were 25 males and 23 females in the observation group,aged(49.95±6.73)years.The differences of Japanese Orthopaedic Association(JOA)score,lumbar Oswestry Disability Index(ODI),Roland-Morris Disability Questionnaire(RMDQ)score,intervertebral space height,and coronal and sagittal Cobb angles of the two groups were observed and analyzed.Independent sample t test and x2 test were used.Results Before surgery,there were no statistically significant differences in the JOA score,ODI score,or RMDQ score between the two groups(all P＞0.05).The JOA scores of the observation group 72 h,3 months,and 6 months after surgery[(20.44±1.39),(23.68± 1.40)and(24.22±1.49)]were higher than those of the control group[(19.81±1.26),(22.75±1.35)and(23.49±1.42)](t=2.327,3.313,and 2.457;P=0.022,0.001,and 0.016);the ODI scores of the observation group[(40.59±3.52),(34.37±4.25),and(31.67±4.83)]were lower than those of the control group[(42.23±3.20),(36.45±4.33),and(34.69±4.95)](t=2.388,2.375,and 3.028;P=0.019,0.020,and 0.003);the RMDQ scores of the observation group[(16.68±1.67),(11.75±1.38),and(5.42±1.35)]were lower than those of the control group[(17.85±1.75),(12.42±1.39),and(6.12± 41.38)](t=3.351,2.370,and 2.512;P=0.001,0.020,and 0.014).Before and after surgery,there were no statistically significant differences in the intervertebral space height or coronal or sagittal Cobb angle between the observation group and the control group(all P＞0.05).Conclusion The integration of fast track surgery into the perioperative nursing of minimally invasive transforaminal interbody fusion can effectively improve the lumbar function,improve the quality of life,and promote patients to recover as soon as possible.
Fast track surgeryMinimally invasive surgeryTransforaminal interbody fusionPerioperative nursing
维普
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