手术室护理路径在经皮椎间孔镜技术治疗腰椎间盘突出症中的作用分析

Analysis of the Role of Operating Room Nursing Pathway in the Treatment of Lumbar Disc Herniation with Percutaneous Transforaminal Endoscopic Therapy

目的探讨经皮椎间孔镜技术治疗腰椎间盘突出症中应用手术室护理路径的临床效果。方法方便选取该院于2014年5月—2018年5月收治的72例经皮椎间孔镜技术治疗腰椎间盘突出症患者,按数字表随机分为2组,每组36例,对照组开展术中常规护理配合,观察组基于对照组护理,实施手术室护理路径,观察与对比两组术中发麻、皮肤发红情况及手术时间、护理满意度。结果观察组皮肤发红、发麻发生率(2.78%)低于对照组(19.44%),两组比较差异有统计学意义(χ~2=4.506,P<0.05);患者对护理满意度(94.44%)高于对照组55.56%,差异有统计学意义(χ~2=14.051,P<0.05)。对照组手术时间(115.68±31.24)min长于观察组,(82.32±30.44)min,两组比较差异有统计学意义(t=4.835,P<0.05)。结论针对经皮椎间孔镜技术治疗的腰椎间盘突出症,开展手术室护理路径,能显著减少术中并发症,提高满意度,增强治疗效果。

Objective To evaluate the clinical effect of percutaneous transforaminal endoscopic therapy in the treatment oflumbar disc herniation. Methods 72 patients with lumbar intervertebral disc herniation treated by the hospital from May2014 to May 2018 were convenient selected and randomly divided into 2 groups according to the number table. 36 cases ineach group. The control group adopted the routine care, the observation group was based on the control group nursing andperformed the operating room nursing path. The two groups observed and compared the intraoperative tingling, skin redness,operation time, and nursing satisfaction. Results The incidence of skin redness and tingling in the observation group（2.78%） was lower than that in the control group （19.44%）. There was a significant difference between the two groups （X^2=4.506, P〈0.05）. The patient satisfaction rate of care （94.44%） was higher than that of the control group （55.56%）. the difference was stagisitcally signficant （X^2=14.051, P〈0.05）. The operation time of the control group （115.68±31.24） min waslonger than that of the observation group （82.32±30.44） min, and there was a significant difference between the two groups（t=4.835, P〈0.05）. Conclusion For the treatment of lumbar intervertebral disc herniation with percutaneous transforaminalendoscopic treatment, the operation path of the operating room can significantly reduce the intraoperative complications, increase the satisfaction, and enhance the therapeutic effect.