强化围手术期护理在腰椎滑移行椎弓根螺钉加后路椎体间植骨治疗中的效果

Effect of Perioperative Nursing on the Treatment of Lumbar Spondylolisthesis with Pedicle Screw and Posterior Interbody Fusion

目的:分析腰椎滑移行椎弓根螺钉加后路椎体间植骨治疗的围手术期强化护理效果。方法:于2017年1月1日到2017年12月30日期间共纳入33例接受腰椎滑移行椎弓根螺钉加后路椎体间植骨治疗的患者,对照组采用常规围手术期护理,观察组强化围手术期护理,比较2组护理效果。结果:观察组愈合时间为(5.96±1.33)月,短于对照组愈合时间(7.69±1.05)月(p<0.05).护理后观察组QOL评分(39.83±6.19)分高于对照组(30.62±7.24)分,NRS评分(2.01±0.43)低于对照组(3.00±0.89)分,差异均具有统计学意义(p<0.05)。结论:针对腰椎滑移患者采用强化围手术期护理可促进骨性愈合,提高患者生活质量,缓解术后疼痛,有临床应用价值。

[Objective]To analyze the perioperative nursing effect of lumbar spine pedicle screw and posterior interbody fusion.[Method]Thirty-three patients undergoing lumbar spondylolisthesis and posterior interbody fusion were retrospectively enrolled between January 1,2017 and December 30,2017.During the period of nursing,the observation group was received perioperative nursing and compared the nursing effects of the two groups.[Result]After nursing,the scores of both groups improved,but the QOL score of the observation group(28.64±5.97)was higher than that of the control group(18.76±4.34)(P<0.05).The NRS score of the observation group(2.01±0.43)was lower than that of the control group(4.64±0.89).The difference was statistically significant(P<0.05).[Conclusion,Intensive perioperative nursing for patients with lumbar spondylolisthesis can promote bone healing,improve patients'quality of life.The basic models and key points have clinical application value.