早期康复护理干预对腰椎间盘突出症术后恢复的效果分析

Effect of Early Rehabilitation Nursing Intervention on Postoperative Recovery of Lumbar Disc Herniation

目的分析早期康复护理干预对腰椎间盘突出症术后恢复的效果。方法随机选取2017年6月-2019年6月该院腰椎间盘突出症患者60例,随机分为早期康复护理干预组(n=30)和常规基础护理干预组(n=30)两组,统计分析两组患者的VAS评分、JOA评分、临床疗效、直腿抬高试验阳性情况、残留腰痛、腿痛情况。结果早期康复护理干预组患者的VAS评分降低幅度、JOA评分升高幅度均显著高于常规基础护理干预组(P<0.05),腰椎功能恢复的优良率66.7%(20/30)显著高于常规基础护理干预组46.7%(14/30)(χ^2=13.340,P<0.05),直腿抬高试验阳性率、残留腰痛、腿痛比例3.3%(1/30)、6.7%(2/30)、3.3%(1/30)均显著低于常规基础护理干预组43.3%(13/30)、33.3%(10/30)、43.3%(13/30)(χ^2=12.830、11.140、12.830,P<0.05)。结论早期康复护理干预对腰椎间盘突出症术后恢复的效果较常规基础护理干预好。

Objective To analyze the effect of early rehabilitation nursing intervention on postoperative recovery of lumbar disc herniation.Methods Sixty patients with lumbar disc herniation from June 2017 to June 2019 were randomly selected and randomly divided into two groups:early rehabilitation nursing intervention group(n=30)and conventional basic nursing intervention group(n=30).The VAS score,JOA score,clinical efficacy,positive results of straight leg elevation test,residual low back pain,and leg pain were statistically analyzed in the two groups of patients.Results The reduction of VAS score and increase of JOA score of patients in early rehabilitation nursing intervention group were significantly higher than those in conventional basic nursing intervention group(P<0.05),and the excellent rate of lumbar spine function recovery was 66.7%(20/30)significantly higher than routine basic nursing intervention group 46.7%(14/30)(χ^2=13.340,P<0.05),positive rate of straight leg elevation test,residual low back pain,leg pain ratio 3.3%(1/30),6.7%(2/30),3.3%(1/30)are significantly lower than the conventional basic care intervention group43.3%(13/30),33.3%(10/30),43.3%(13/30)(χ^2=12.830,11.140,12.830,P<0.05).Conclusion Early rehabilitation nursing intervention has better effect on postoperative recovery of lumbar disc herniation than conventional basic nursing intervention.