首页|加速康复外科模式下的加速康复护理干预在前路颈椎间盘切除融合术患者中的应用效果分析

加速康复外科模式下的加速康复护理干预在前路颈椎间盘切除融合术患者中的应用效果分析

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目的 探讨加速康复外科(ERAS)模式下的加速康复护理干预在前路颈椎间盘切除融合术(ACDF)患者中的应用效果。方法 选取2020年5月至2021年5月首都医科大学宣武医院收治的162例接受ACDF治疗的颈椎病患者为研究对象,在组间基线特征可比的原则上,采用随机数字表法分为对照组和观察组,每组81例。对照组患者给予常规护理干预,观察组患者给予ERAS模式下的加速康复护理干预。比较分析两组患者的术后胃肠功能、术后疼痛程度、导尿管拔除时间、首次下床时间及住院时间。结果 两组患者的术后恶心、呕吐发生率比较差异无统计学意义(P>0。05);观察组患者的首次排气时间、首次排便时间、首次进食固体食物时间、导尿管拔除时间、首次下床时间、住院时间、静息时的视觉模拟评分法评分、运动时的视觉模拟评分法评分均短于或低于对照组,差异均有统计学意义(P<0。05)。结论 实施ERAS模式下的加速康复护理干预可显著改善接受ACDF治疗的颈椎病患者的术后胃肠功能,促进患者的术后恢复进程,值得临床应用。
Analysis of the effect of accelerated rehabilitation nursing intervention under enhanced recovery after surgery mode in patients with anterior cervical discectomy and fusion
Objective To explore the effect of accelerated rehabilitation nursing intervention under enhanced recovery after surgery(ERAS)model in patients with anterior cervical discectomy and fusion(ACDF).Method A total of 162 patients with cervical spondylosis treated with ACDF from May 2020 to May 2021 in Xuanwu Hospital,Capital Medical University were selected as the study objects.Based on the principle of comparison of baseline features between groups,they were divided into control group and observation group by random number table method,with 81 cases in each group.The control group was given usual nursing intervention,and observation group was given accelerated rehabilitation nursing intervention under ERAS model.The postoperative gastrointestinal function,postoperative pain degree,catheter removal time,first time of getting out of bed and length of hospital stay were compared between the two groups.Result There was no significant difference in postoperative nausea and vomiting between the two groups(P>0.05).The first exhaust time,first defecation time,first eating solid food time,catheter removal time,first time of getting out of bed,length of hospital stay,resting and exercise VAS scores in observation group were shorter or lower than control group,and the differences were statistically significant(P<0.05).Conclusion The accelerated rehabilitation nursing intervention under ERAS model can significantly improve the postoperative gastrointestinal function of cervical spondylosis patients receiving ACDF treatment,and promote the postoperative recovery process of patients,which is worthy of clinical application.

Enhanced recovery after surgeryCervical spondylosisAnterior cervical discectomy and fusion

钱瑜、刘欢、赵中晶、肖玮、吴浩、王凯、冯帅

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首都医科大学宣武医院神经外科,北京 100053

首都医科大学宣武医院麻醉手术科,北京 100053

加速康复外科 颈椎病 前路颈椎间盘切除融合术

北京市属医学科研院所公益发展改革试点项目

京医研2019-2

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(8)