医联体下围术期加速康复联合疼痛管理对胸腰椎患者的影响

Effects of perioperative accelerated rehabilitation combined with pain management on patients undergoing thoracolumbar spine surgery

目的:探讨医联体模式下县级医院围术期加速康复在胸腰椎手术患者中的应用效果。方法:217例胸腰椎手术患者研究对象,采用随机数字表法,分成观察组和对照组,观察组纳入“骨科手术加速康复围术期与疼痛管理示范病房”,实施围术期加速康复的疼痛管理模式;对照组纳入普通无痛病房,采用传统疼痛管理模式,比较两组患者的临床疗效。结果:观察组患者的切口疼痛、并发症发生、平均下地活动时间和住院时间等均优于对照组(P<0.05);观察组患者护理总满意度高于对照组(P<0.05)。结论:将围术期加速康复应用于胸腰椎患者,对改善患者的临床疗效有良好的的应用价值,值得推广。

Objective:To explore the effect of perioperative accelerated rehabilitation in county-level hospitals on thoracolumbar spine surgery under the medical conjoint model.Methods:217 cases of thoracolumbar spine surgery patients were divided into an observation group and a control group by random number table method.The observation group was included in the"Orthopedic Surgery Accelerated Rehabilitation Perioperative Period and Pain Management Demonstration Ward",and the perioperative accelerated rehabilitation pain Management mode,the control group was included in the general painless wards,and the traditional pain management mode was adopted to compare the clinical efficacy of the two groups of patients.Results:The observation group's incision pain,complications,average time to go to the ground and hospitalization time were better than the control group(P<0.05);the observation group's total nursing satisfaction was higher than the control group(P<0.05).Conclusion:The application of accelerated perioperative rehabilitation to patients with thoracolumbar spine has good application value for improving the clinical efficacy of patients,and it is worthy of promotion.