腰椎管狭窄症行椎间孔镜术后正确站姿的护理干预研究(1)
【摘 要】 目的：探讨腰椎管狭窄症患者行椎间孔镜手术后早期康复正确站姿的护理干预效果。方法：选取2017年1月至2019年3月本院骨科收治的44例行椎间孔镜手术的腰椎管狭窄症患者，随机分成对照组和观察组各22例。对照组给予骨科术后常规护理，观察组在常规护理基础上实施术后早期康复正确站姿的护理干预。干预2周，比较两组患者疼痛评分(0～10数字疼痛强度量表NRS)、腰椎功能(Oswestry指数表ODI)评分改善情况和临床疗效。结果：干预前，两组NRS评分和ODI评分比较无明显差异，无统计学意义(P>0.05);干预第1周，两组NRS评分比较无明显差异(P>0.05)，但观察组ODI评分明显低于对照组(P<0.05);干预2周，观察组NRS评分和ODI评分均显著低于对照组;观察组总有效率明显高于对照组，差异均有统计学意义(P<0.01)。结论：对行椎间孔镜手术后的腰椎管狭窄症患者早期康复进行正确站姿的护理干预，可明显促进患者腰椎功能康复进程，明显缓解其疼痛程度。
【关键词】 腰椎管狭窄;椎间孔镜;正确站姿;疼痛;腰椎功能
[Abstract] Objective：To explore the effect of nursing intervention on patients with lumbar spinal stenosis undergoing early rehabilitation and correct stance after intervertebral foramen surgery. Methods： From January 2017 to March 2019， 44 patients with lumbar spinal stenosis underwent intervertebral foramen surgery in our department of orthopedics were randomly divided into control group and observation group. The control group was given routine care after orthopedic surgery. The observation group implemented the nursing intervention of correct post-operative rehabilitation in the early post on the basis of routine nursing. After 2 weeks of intervention， the pain scores (0 to 10 digital pain intensity scale NRS)， lumbar function (Oswestry index table ODI) score improvement and clinical efficacy were compared between the two groups. Results： Before the intervention， there was no significant difference between the two groups in NRS score and ODI score (P>0.05). There was no significant difference in NRS score between the two groups (P>0.05)， but the observation group had obvious ODI score. The control group was significantly lower than the control group (P<0.05). The total effective rate of the observation group was significantly higher than that of the control group (P<0.01). Conclusion：The correct post-care nursing intervention for the early rehabilitation of patients with lumbar spinal stenosis after intervertebral foramen surgery can significantly promote the recovery process of lumbar spine function and significantly relieve the pain degree.
[Key words]Lumbar spinal stenosis; Intervertebral foramen; Correct standing posture; Pain; Lumbar function
腰椎管狹窄症是骨科临床常见的其他疾病，是由于椎管硬膜囊本身的狭窄，压迫了位于椎管中的马尾神经，产生腰腿痛及一系列神经系统症状。随着病情程度的进展和加重，会限制患者个人的日常活动能力，影响其正常生活、社交及工作[1-2]。椎间孔镜手术治疗方法可显著改善椎间孔狭窄程度以减轻患者躯体症状，是当前临床应用于腰椎管狭窄症患者最广泛且最为有效的治疗方式。但由于椎间孔镜手术对椎管硬膜囊的创伤性损伤及手术部位的特殊性，患者术后早期功能锻炼对康复进程极为关键。因此，相关临床研究者提出，通过对患者术后正确站姿的干预方式，可以达到促进机体康复、减轻躯体痛感的目的[3]。本文作者结合本院骨科护理组对中老年椎管狭窄症行椎间孔镜手术后的正确站姿护理干预的临床观察情况，将应用成效报道如下。, http://www.100md.com(董丁慧)
【关键词】 腰椎管狭窄;椎间孔镜;正确站姿;疼痛;腰椎功能
[Abstract] Objective：To explore the effect of nursing intervention on patients with lumbar spinal stenosis undergoing early rehabilitation and correct stance after intervertebral foramen surgery. Methods： From January 2017 to March 2019， 44 patients with lumbar spinal stenosis underwent intervertebral foramen surgery in our department of orthopedics were randomly divided into control group and observation group. The control group was given routine care after orthopedic surgery. The observation group implemented the nursing intervention of correct post-operative rehabilitation in the early post on the basis of routine nursing. After 2 weeks of intervention， the pain scores (0 to 10 digital pain intensity scale NRS)， lumbar function (Oswestry index table ODI) score improvement and clinical efficacy were compared between the two groups. Results： Before the intervention， there was no significant difference between the two groups in NRS score and ODI score (P>0.05). There was no significant difference in NRS score between the two groups (P>0.05)， but the observation group had obvious ODI score. The control group was significantly lower than the control group (P<0.05). The total effective rate of the observation group was significantly higher than that of the control group (P<0.01). Conclusion：The correct post-care nursing intervention for the early rehabilitation of patients with lumbar spinal stenosis after intervertebral foramen surgery can significantly promote the recovery process of lumbar spine function and significantly relieve the pain degree.
[Key words]Lumbar spinal stenosis; Intervertebral foramen; Correct standing posture; Pain; Lumbar function
腰椎管狹窄症是骨科临床常见的其他疾病，是由于椎管硬膜囊本身的狭窄，压迫了位于椎管中的马尾神经，产生腰腿痛及一系列神经系统症状。随着病情程度的进展和加重，会限制患者个人的日常活动能力，影响其正常生活、社交及工作[1-2]。椎间孔镜手术治疗方法可显著改善椎间孔狭窄程度以减轻患者躯体症状，是当前临床应用于腰椎管狭窄症患者最广泛且最为有效的治疗方式。但由于椎间孔镜手术对椎管硬膜囊的创伤性损伤及手术部位的特殊性，患者术后早期功能锻炼对康复进程极为关键。因此，相关临床研究者提出，通过对患者术后正确站姿的干预方式，可以达到促进机体康复、减轻躯体痛感的目的[3]。本文作者结合本院骨科护理组对中老年椎管狭窄症行椎间孔镜手术后的正确站姿护理干预的临床观察情况，将应用成效报道如下。, http://www.100md.com(董丁慧)
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