路径式功能训练联合间歇气压装置干预对腰椎融合手术患者康复效果及DVT的影响

Effect of path functional training combined with intermittent pneumatic device intervention on rehabilitation effect and DVT in patients with lumbar vertebral fusion surgery

目的探讨路径式功能训练联合间歇气压装置干预对腰椎融合手术患者康复效果及深静脉血栓形成(DVT)的影响。方法选取2020年7月至2021年7月该院收治的腰椎融合手术患者120例作为研究对象,采用随机数字表法分为观察组和对照组,每组60例。对照组采用传统干预,观察组采用路径式功能训练联合间歇气压装置干预。分析比对2组患者干预后功能锻炼达标率、Oswestry功能障碍指数(ODI)评分、并发症(切口感染、DVT、便秘和泌尿系感染)发生率、临床指标(住院时间和下床时间)等。结果观察组患者干预后住院时间、下床时间均明显短于对照组,功能锻炼达标率明显高于对照组,ODI评分、并发症发生率均明显低于对照组,差异均有统计学意义(P<0.05)。结论对腰椎融合手术患者而言,采取路径式功能训练联合间歇气压装置干预有利于功能康复,降低DVT发生率,可大力推广应用。

Objective To investigate the effects of path functional training combined with intermittent pneumatic device intervention on the rehabilitation effect and the occurrence of deep venous thrombosis(DVT)in the patients with lumbar vertebral fusion surgery.Methods A total of 120 patients with lumbar vertebral fusion surgery admitted an treated in this hospital from July 2020 to July 2021 were selected as the study subjects and divided into the observation group and control group by adopting the random number table method,60 cases in each group.The control group adopted the traditional intervention,and the observation group adopted the path functional training combined with intermittent pneumatic device intervention.The reaching standard rate of functional exercise,Oswestry dysfunction index score(ODI),occurrence rates of complications(incision infection,DVT,constipation and urinary system infection)and clinical indicators(hospitalization duration and time for getting out of bed)after intervention were analyzed and compared between the two groups.Results The hospital stay duration and time for getting out of bed after intervention in the observation group were shorter than those in the control group,the reaching standard rate of functional exercise was significantly higher than that in the control group,the ODI score and occurrence rate of complications were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Adopting the path functional training combined with intermittent pneumatic device intervention in the patients with lumbar vertebral fusion surgery is beneficial to the functional rehabilitation,reduce the occurrence rate of DVT,and could be widely promoted and applied.