快速康复外科理念对腰椎间盘突出症患者的影响

Effect study of fast track surgery concept on patients with lumbar intervertebral disc herniation

目的探讨快速康复外科理念在腰椎间盘突出症患者中应用效果。方法随机选择2010年2月—2012年2月在新疆昌吉州吉木萨尔县人民医院骨科住院治疗的108例腰椎间盘突出症患者为研究对象,应用随机数字表法将本研究入选患者分为对照组和治疗组,对照组患者给予传统的手术方式,而治疗组患者则应用FTS理念指导下行手术,比较对照组和治疗组患者的术后疼痛程度、术后住院时间和临床疗效。结果治疗组患者术后出院时疼痛视觉模拟评分优于对照组的,术后住院时间明显缩短,临床疗效明显高于对照组的(P<0.05),但是两组患者出院时关节活动度没有差异(P>0.05)。结论快速康复外科理念明显改善腰椎间盘突出症患者术后疼痛程度,缩短患者住院时间,且临床疗效更优,值得进一步推广。

Objective To investigate application effect of the fast track surgery concept on patients with lumbar intervertebral disc herniation. Methods The clinical data of one hundred and eight cases of patients with lumbar intervertebral disc herniation who were treated in the department of orthopedics in our hospital from February 2010 to February 2012 were collected, then they were divided into the control group and the observation group, patients in the control group were given the traditional operation method, patients in the observation group were given the fast track surgery concept on the basis of the treatments, in the end, the postoperative pain, postoperative hospitalization time an.d clinical efficacy were evaluated. Results Pain visual analogue scale and postoperative hospitalization time in the observation group were lower than that in the control group, and the excellent good proportion of lumbar intervertebral disc herniation was also higher in the observation group than that in the control group （P 〈 0. 05）. Conclusions The fast track surgery concept on patients with lumbar intervertebral disc herniation can improve pain degree, shorten the length of time and clinical efficacy is better, it is worthy of clinical application.