快速康复护理在椎间孔镜下髓核摘除术患者中的应用

APPLICATION OF RAPID REHABILITATION NURSING IN PATIENTS UNDERGOING FORAMINAL NUCLEUS PULPOSUS EXCISION

目的探讨LDH患者行髓核摘除术后康复方法。方法将77例LDH患者随机分为两组,均行髓核摘除术,对照组实施常规护理,实验组实施快速康复护理。比较两组的实施效果。结果与护理前比较,护理后两组JOA评分均有提高(P<0.01),Oswestry功能障碍指数评分均有大幅下降(P<0.01),但实验组升降幅度大于对照组(P<0.01);护理后两组生活状态、躯体功能、心理功能及社会功能方面评分均有大幅提升(P<0.01),但实验组提升幅度大于对照组(P<0.01)。结论对行髓核摘除术患者实施快速康复护理,能加快患者功能恢复,提高生活质量。

Objective To explore the rehabilitation method of patients with LDH after nucleus pulposus removal.Methods Seventy-seven patients with LDH were randomly divided into two groups,and all underwent nucleus pulposus removal.The control group received routine nursing care,and the experimental group received rapid rehabilitation care.The implementation effects of the two groups were compared.Results Compared with those before nursing,the JOA scores of the two groups increased after nursing(P<0.01),and the Oswestry dysfunction index scores both decreased significantly(P<0.01),but the increase in the experimental group was greater than that of the control group(P<0.01).After nursing,the scores of life status,physical function,psychological function,and social function of the two groups were greatly improved(P<0.01),but the improvement of the experimental group was greater than that of the control group(P<0.01).Conclusion The implementation of rapid rehabilitation care for patients undergoing nucleus pulposus can speed up the functional recovery of patients and improve the quality of life.