规范化康复护理对脊髓型颈椎病行颈椎前路手术患者的影响

Effect of standardized rehabilitation nursing on patients undergoing anterior cervical spondylotic surgery for spinal cervical spondylosis

目的探讨规范化康复护理在脊髓型颈椎病前路手术术后功能恢复的影响。方法将60例行颈椎前路椎间隙减压植骨融合内固定术的患者分为观察组和对照组各30例。对照组实施常规护理,观察组实施规范化康复护理措施。分别在出院时、出院后1、3、6个月进行日本骨科协会脊髓功能JOA评分、颈椎功能残障指数NDI评分、疼痛视觉模拟VAS评分、生活自理能力评分以及记录两组住院时间、术后并发症发生率。结果手术后观察组与对照组的平均住院时间、术后并发症、术后脊髓功能恢复情况、颈椎功能恢复、生活自理能力的差异有统计学意义(P<0.05);观察组的平均住院时间均低于对照组(P<0.05);术后脊髓功能功能评分、生活自理能力评分均高于对照组(P<0.05);颈椎功能残障指数评分、术后并发症发生率均低于对照组(P<0.05)。结论规范化康复护理可以促进脊髓型颈椎病行前路手术术后脊髓、颈椎功能的恢复,减少住院时间,减少术后并发症的发生,提高患者生活自理能力,提高生活质量。

Objective To investigate the effect of standardized rehabilitation nursing on functional recovery of cervical spondylotic myelopathy(CSM)after anterior operation.Methods Sixty patients were divided into two groups:observation group(n=30)and control group(n=30).Routine nursing was carried out in the control group and standardized rehabilitation nursing measures were carried out in the observation group.At the time of discharge,1,3,6 months after discharge,the JOA score of spinal cord function of the Japanese Orthopaedics Association,the NDI score of cervical spine disability index,the VAS score of visual analogue of pain,the score of self-care ability of life were taken.The length of hospitalization of the two groups and incidence of postoperative complications were recorded.Results There were significant differences in average hospitalization time,postoperative complications,recovery of spinal cord function,recovery of cervical spine function and ability of living self-care between the observation group and the control group after operation(P<0.05).The average hospitalization time in the observation group was lower than that in the control group(P<0.05),and the scores of spinal cord function and self-care ability after operation were higher than those in the control group(P<0.05).The score of cervical disability index and the incidence of postoperative complications were lower than those of the control group(P<0.05).Conclusion Standardized rehabilitation nursing may promote the recovery of spinal cord and cervical spine function,reduce hospital stay,reduce postoperative complications,improve the self-care ability of patients and improve the quality of life.