加速康复外科理念对脊髓肿瘤脊柱手术围术期的效果观察

Efficacy of perioperative accelerated rehabilitation in surgery for spinal cord tumors

目的探讨加速康复外科理念对脊髓肿瘤脊柱手术围术期的效果。方法选取2016年6月至2020年5月间空军军医大学唐都医院收治的60例脊髓肿瘤脊柱手术患者为研究对象,采用随机抽签的方式将患者分为观察组和对照组,每组30例。对照组患者围术期予以常规护理干预,观察组患者围术期予以加速康复外科理念干预。比较两组患者术后不同时期的疼痛评分情况及出现的并发症。结果观察组患者术后24h、48h及72h的疼痛数字评分为(3.34±1.38)分、(2.01±1.20)分和(1.32±0.56)分,均低于对照组的(4.66±1.45)分、(3.73±1.22)分和(2.08±1.02)分,差异均有统计学意义(均P<0.05)。观察组患者并发症发生率为3.3%,低于对照组的23.3%,差异有统计学意义(P<0.05)。结论加速康复外科理念应用于脊髓肿瘤脊柱手术围术期护理中,有助于缓解患者疼痛,减少并发症,促使其尽早出院。

Objective To explore the efficacy of perioperative accelerated rehabilitation in surgery for spinal cord tumors.Methods A total of 60 patients undergoing surgery for spinal cord tumors were se-lected at Tangdu Hospital,Air Force Military Medical University from June 2016 to May 2020.They were randomly assigned to an observation group and a control group with 30 patients in each group.The observa-tion group received nursing care based on the concept of accelerated rehabilitation and the control group re-ceived conventional nursing during the perioperative period.Pain scores and complications were compared between the two groups at different periods after surgery.Results The numerical rating scale(NRS)of pain was 3.34±1.38,2.01±1.20 and 1.32±0.56,respectively in the observation group at 24 h,48 h,and 72 h after operation which was lower than 4.66±1.45,3.73±1.22 and 2.08±1.02,respectively of the control group(all P<0.05).The incidence of complications was 3.3%in observation group which was significant lower than 23.3%of the control group(P<0.05).Conclusion Accelerated rehabilitation sur-gery can help relieve pain,reduce complications,and promote discharge as soon as possible in patients un-dergoing surgery for spinal cord tumors.