腰椎管狭窄症行椎间孔镜术后正确站姿的护理干预研究

Nursing intervention study on correct standing posture of lumbar spinal stenosis after intervertebral foramen

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。

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.