快速康复外科理念指导的早期下床活动对腰椎间盘突出症患者术后并发症的影响

Effect of Early Ambulation Guided by the Concept of Enhanced Recovery after Surgery on Postoperative Complications of Patients with Lumbar Disc Herniation

目的探究快速康复外科理念指导的早期下床活动对腰椎间盘突出症患者术后并发症的影响.方法选择本院2021年7月—2022年3月收治的70例腰椎间盘突出症患者,按随机数字表法分为对照组(n=35)和观察组(n=35).对照组采用常规干预,观察组采用快速康复外科理念指导的早期下床活动,均持续干预3个月.比较两组患者的临床指标、腰椎功能、生活质量及并发症发生情况.结果干预后,观察组的腰椎曲度、骶骨倾斜角、腰椎前凸指数分别为(1.97±0.25)cm、(30.06±3.14)°、(2.17±0.32),均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的Oswestry功能障碍指数问卷表评分为(10.12±1.37)分,低于对照组,日本骨科协会评估治疗分数为(19.13±2.36)分,高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的各项生活质量评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为5.71%,低于对照组的22.86%,差异有统计学意义(P<0.05).结论快速康复外科理念指导的早期下床活动能够有效改善腰椎间盘突出症患者术后的腰椎参数,减少并发症发生,加快腰椎功能恢复,进而提高其生活质量.

Objective To explore the effect of early ambulation guided by the concept of enhanced recovery after surgery on postoperative complications of patients with lumbar disc herniation.Methods 70 patients with lumbar disc herniation admitted to our hospital from July 2021 to March 2022 were selected and were divided into a control group(n=35)and an observation group(n=35)according to random number table method.The control group was treated with routine intervention,and the observation group was treated with early ambulation guided by the concept of enhanced recovery after surgery.Both groups continued intervention for 3 months.The clinical indexes,lumbar function,quality of life and complications were compared between the two groups.Results After intervention,the lumbar curvature,sacral inclination angle and lumbar lordosis index in the observation group were(1.97±0.25)cm,(30.06±3.14)°and(2.17±0.32),respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the Oswestry disability index questionnaire score of the observation group was(10.12±1.37)points,which was lower than that of the control group,and the evaluation treatment score of the Japanese Orthopaedic Association was(19.13±2.36)points,which was higher than that of the control group,and the differences between groups were statistically significant(P<0.05).After intervention,the life quality scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.71%,lower than 22.86%in the control group,and the difference was statistically significant(P<0.05).Conclusion Early ambulation guided by the concept of enhanced recovery after surgery can effectively improve the lumbar parameters of patients with lumbar disc herniation after surgery,reduce the occurrence of complications,accelerate the recovery of lumbar function,and improve their quality of life.