椎间盘镜治疗腰椎间盘突出症的围手术期护理

Perioperative Nursing of Microendoscopic Discectomy for Treatment of Lumbar Disc Herniation

目的讨论系统性护理在椎间盘镜治疗腰椎间盘突出症的围手术期护理中的意义和价值。方法对140例2013年5月—2015年6月收治的腰椎间盘突出症实施椎间盘镜手术的患者,采用随机数字表法分为两组,观察组予以围手术期系统性护理,对照组给予常规围手术期护理,出院后定期复查随访,根据Nakai评分标准评价恢复情况,观察比较两组恢复情况。结果两组病情恢复疗效比较,观察组总优良率95.71%,对照组总优良率82.86%,P<0.05,差异有统计学意义;两组术后并发症比较,观察组并发症发生率7.14%,低于对照组的18.57%,两组比较差异有统计学意义(P<0.05)。结论做好椎间盘镜治疗腰椎间盘突出症的围手术期系统性护理,有助于术后病情的恢复、提高手术成功率、提高患者满意度,值得进一步探讨推广。

Objective To discuss the nursing methods and significance of discectomy for treatment of lumbar disc herniation in the perioperative period. Methods 120 cases admitted in our hospital in May 2013 to 2015 June lumbar disc herniation implementation intervertebral disc endoscope surgery patients, do well in the peri operative nursing, including preoperative evaluation, preoperative nursing, postoperative nursing direct rehabilitation and discharged after regular follow-up. According to Nakai score evaluation standard recovery. Results Microendoscopic discectomy for lumbar disc herniation with good effect, through peri operative nursing care can effectively improve the cure rate and reduce the complications, early rehabilitation and follow-up results showed that： 71 cases were excellent, good in 44 cases, in 3 cases, poor in 2 cases, the total excellent and good rate was 95.71%. Conclusion Perioperative nursing of microendoscopic discectomy for treatment of lumbar disc herniation, contribute to postoperative recovery, improve the success rate of surgery and improve patient satisfaction, worthy of further clinical promotion.