手术室优质干预对胸腰椎骨折患者术后疼痛的影响

Effect of high-quality intervention in the operating room on postoperative pain in patients with thoracolumbar fractures

目的探究手术室优质干预对胸腰椎骨折患者术后疼痛感的影响。方法随机选取2022年1月至2023年1月收治的胸腰椎骨折患者60例,按照数字表法随机分成2组,观察组(n=30)接受手术室优质护理,常规组(n=30)接受常规护理,比较2组围手术期指标、疼痛程度[数字评分法(NRS)]差异,比较2组干预前后腰椎功能[Oswestry功能障碍指数(ODI)]、生活质量[生命质量综合评定问卷(GQOLI-74)]变化,比较2组并发症发生率。结果观察组的下床时间、疼痛消失时间、住院时间均小于常规组(P<0.05);观察组的静息性疼痛、活动性疼痛评分均小于常规组(P<0.05);干预后,2组的ODI评分小于同组干预前(P<0.05),并且观察组的ODI评分小于常规组(P<0.05);干预后,2组的躯体功能、心理功能、社会功能等GQOLI-74评分大于同组干预前(P<0.05),并且观察组的躯体功能、心理功能、社会功能等GQOLI-74评分大于常规组(P<0.05);2组干预后的健康状态评分比较,差异无统计学意义(P>0.05);2组的并发症发生率比较,差异无统计学意义(P>0.05)。结论手术室优质干预有利于减轻胸腰椎骨折患者疼痛感受、加快术后恢复,保护腰椎功能且提高生活质量,具有积极意义。

Objective To explore the effect of high-quality intervention in the operating room on postoperative pain in patients with thoracolumbar fractures.Methods A total of 60 patients with thoracolumbar fractures admitted from January 2022 to January 2023 were randomly selected and assigned into the observation group(n=30,hig-quality nursing in the operating room)and control group(n=30,routine nursing care)according to the digital table method.The perioperative indicators,pain(the Numerical Rating Scale[NRS]),lumbar function(the Oswestry Disability Index[ODI])and quality of life(the General Quality of Life Inventory-74[GQOLI-74])were compared between the two groups before and after intervention.The incidence of complications was compared between the two groups.Results The time of off-bed activities,time of pain disappearance,and length of hospital stay in the observation group were significantly shorter than those of the control group(P<0.05).The NRS scores of resting pain and active pain in the observation group were significantly lower than those of the control group(P<0.05).After the intervention,the ODI scores of the two groups were significantly lower than those before the intervention,which were significantly lower in the observation group than in the control group(P<0.05).After the intervention,the GQOLI-74 scores of physical function,psychological function and social function of the two groups were significantly higher than those before the intervention,which were significantly higher in the observation group than the control group(P<0.05).There was no significant difference in health status scores between the two groups after intervention(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion High-quality intervention in the operating room is beneficial to reduce the pain of patients with thoracolumbar fractures,accelerate postoperative recovery,protect lumbar function and improve the quality of life,which has a positive significance.