快速康复外科护理干预在脊髓型颈椎病患者围手术期的应用

Application of Fast Track Surgery Nursing Intervention in Perioperative Period of Patients with Cervical Spondylotic Myelopathy

目的探讨快速康复外科(FTS)护理干预在脊髓型颈椎病(CSM)患者围手术期的应用效果。方法86例行手术治疗的CSM患者随机分为两组各43例,对照组实施常规护理干预,观察组实施FTS护理干预,比较两组的术后恢复情况、疼痛程度以及并发症。结果观察组的颈椎恢复活动时间、住院时间均显著短于对照组,术后1 h、6 h、12 h的VAS评分均显著低于对照组(P<0.05)。观察组的并发症总发生率为4.65%,显著低于对照组的23.26%(P<0.05)。结论FTS护理干预在CSM患者围手术期的应用效果显著,可明显减轻患者的术后疼痛程度,减少并发症的发生,加速康复进程。

Objective To explore the application effect of fast track surgery(FTS)nursing intervention in perioperative period of patients with cervical spondylotic myelopathy(CSM).Methods 86 patients with CSM who underwent surgical treatment were randomly divided into two groups,with 43 cases in each group.The control group received routine nursing intervention,and the observation group received FTS nursing intervention.The postoperative recovery,pain degree and complications were compared between the two groups.Results The time for cervical spine to return to activity and the hospitalization time in the observation group were significantly shorter than those in the control group,and the VAS scores at 1 h,6 h and 12 h after surgery were significantly lower than those in the control group(P<0.05).The total incidence of complications in the observation group was 4.65%,significantly lower than 23.26%in the control group(P<0.05).Conclusions FTS nursing intervention has significant application effect in the perioperative period of CSM patients,which can obviously relieve postoperative pain degree,reduce the occurrence of complications,and accelerate the rehabilitation process of patients.