围术期护理在行经皮椎间孔镜腰椎间盘突出症患者中的应用

Application of perioperative nursing in patients with lumbar disc herniation undergoing percutaneous endoscope

目的探讨围术期护理在行经皮椎间孔镜(PTED)腰椎间盘突出症患者中的应用。方法选取2015年7月~2018年3月我院收治的80例腰椎间盘突出症患者为研究对象,按照动态化随机分组的方法分为对照组(n=40)与观察组(n=40)。对照组采用常规护理,观察组采用围术期护理干预。比较两组的生活质量评分、视觉模拟量表(VAS)评分和术后护理总满意度。结果护理前,两组的生活质量、VAS评分比较,差异无统计学意义(P>0.05);护理后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05),VAS评分低于对照组,差异有统计学意义(P<0.05),观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论PTED治疗腰椎间盘突出症患者采用围术期护理效果明显,安全性能好,值得推广,也为今后研究提供比较可靠参考价值。

Objective To investigate the application of perioperative nursing in patients undergoing percutaneous foraminal lumbar disc herniation.Methods A total of 80 patients with lumbar disc herniation who were treated in our hospital from July 2015 to March 2018 were selected as research objects.They were divided into control group(n=40)and an observation group(n=40)according to dynamic randomization method.The control group adopted routine nursing,and the observation group adopted perioperative nursing intervention.The quality of life scores,visual analogue scale(VAS)scores,total postoperative care satisfaction of the two groups were compared.Results Before nursing,there were no significant differences in the quality of life and VAS scores between the two groups(P>0.05).After nursing,the quality of life score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05),the VAS score was lower than that of the control group,and the difference was statistically significant(P<0.05).The total satisfaction of nursing in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion PTED for patients with lumbar disc herniation has obvious perioperative nursing effect,good safety performance,and is worthy of promotion.It also provides a more reliable reference value for future research.