基于加速康复外科理念的术前预康复方案对腰椎退行性疾病手术患者的效果
Effect of Preoperative Pre-rehabilitation Program Based on the Concept of Enhanced Recovery after Surgery on Patients with Degenerative Lumbar Disease Undergoing Surgery
李晨晨 1刘凤花1
作者信息
- 1. 商丘市第一人民医院骨科,商丘 476000
- 折叠
摘要
目的:探讨基于加速康复外科(ERAS)理念的术前预康复方案应用于腰椎退行性疾病(DLD)手术患者的效果.方法:选择 2019 年 7 月至 2022 年 7 月本院收治的 102 例择期进行DLD手术患者作为研究对象.根据随机数字表法,将其分为实验组(n =51,接受基于ERAS理念的术前预康复护理)和对照组(n =51,接受常规术前护理).对比两组患者腰椎功能状态及并发症发生情况.结果:术后出院当天及术后 4 周,两组患者腰椎功能障碍指数(ODI)评分均下降,并且实验组显著低于对照组,差异均有统计学意义(P＜0.05).术后住院期间,实验组并发症发生率(3.92%,2/51)低于对照组(15.69%,8/51),差异有统计学意义(P＜0.05).结论:基于ERAS理念的术前预康复方案应用于DLD手术,有助于改善患者腰椎功能状态,降低并发症的发生风险,促进患者康复.
Abstract
Objective:To explore the effectiveness of preoperative pre-rehabilitation program based on the concept of enhanced recovery after surgery(ERAS)in patients with degenerative lumbar disease(DLD)undergoing surgery.Method:A total of 102 patients with DLD who were admitted to our hospital from July 2019 to July 2022 were selected as the study subjects.They were divided into an experimental group(n =51,receiving preoperative pre-rehabilitation care based on the ERAS concept)and a control group(n =51,receiving routine preoperative care)using a random number table method.Compare the lumbar functional status and complications of patients between groups.Results:On the postoperative discharge day and 4 weeks after surgery,the Oswestry disability index(ODI)score decreased,and the experimental group was lower than the control group,and the differences were statistically significant(P＜0.05).During the postoperative hospitalization period,the total probability of complications in the experimental group(3.92%,2/51)was lower than that in the control group(15.69%,8/51),and the difference was statistically significant(P＜0.05).Conclusion:The application of preoperative pre-rehabilitation program based on ERAS concept in DLD surgery can help improve the lumbar functional status of patients,reduce the risk of complications,and promote early recovery.
关键词
加速康复外科理念/腰椎退行性疾病/腰椎功能障碍/并发症Key words
Enhanced recovery after surgery/Degenerative lumbar disease/Lumbar dysfunction/Complication引用本文复制引用
出版年
2024
NETL
NSTL
万方数据