快速康复护理在颈椎病前路手术护理中的应用分析.docVIP

快速康复护理在颈椎病前路手术护理中的应用分析 曾雪梅陈正香 (鼓楼医院江苏南京210000) 【摘要】目的：探讨快速康复路径应用颈椎病颈前路手术护理中患者中的临 床效果。方法：颈椎病颈前路手术护理中121(122)例，随机分为治疗组(观察组)及 对照组，各61例，观察组予以快速康复护理路径，对照组予以常规护理。结果：观 察组患者住院时间明显短于对照组患者(Plt;0.05)；观察组患者并发症发生率 明显低于对照组患者(Plt;0.05)观察组患者护理满意度明显优于对照组患者 (Plt;0.05)。结论：颈椎病颈前路手术患者采用快速康复护理路径显著减少术 后并发症及住院时间，加快患者康复速度，具有重要临床意义。 【关键词】劲椎病；前路手术；快速康复护理 【中图分类号】R471 【文献标识码】B 【文章编号】1007-8231 (2015) 18-0179-02 Assessment of rapid rehabilitation nursing in anterior approach surgery of cervical spondylotic myelopathy Zeng Xuemei, Chen Zhengxiang 【Abstract】Objective To explore the clinical results of rapid rehabilitation nursing of anterior cervical surgery in patients with cervical spondylotic myelopathy (CSM). Methods A total of 122 patients with CSM underwent anterior cervical surgery. They were divided in rapid group (R group) and control group (C group), with 61 patients in each group. Patients in R group received rapid rehabilitation nursing, while the others in C group received usual nursing. Results Hospital stay in R group was significant short than that in C group, with the rate of complications of patients in R group was obvious lower than that in C group (Plt;0.05). In addition, patients in R group felt more satisfactory than patients in C group (Plt;0.05). Conclusion Rapid rehabilitation nursing in anterior approach surgery of CSM had an important clinical significance, with the advantages of lower rate of complications, shorter hospital stay and quicker recovery. 【Key words】 Cervical spondylotic myelopathy;Anterior cervical surgery;Rapid rehabilitation nursing 颈椎病指颈椎骨关节炎、颈椎间盘脱出症等颈椎部位病变的总称，部分较重 患者经常规治疗效果不佳后需接受手术治疗。颈椎前路手术是临床治疗颈椎病 的常用术式。因为手术部位解剖复杂，术后易出现各种并发症，可导致手术失败 或康复受阻。快速康复外科（Fast track surgery, FTS）近年在临床中越来越受到 重视，其核心理念是指在多学科的协助治疗下，运用各种具奋循证证据的围术期 优化措施，减少手术对患者的损害，达到快速康复的0的，从而使患者早期恢复， 缩短住院时间、降低住院费用、提高手术安全性、减少并发症［1-2］。因手术已经 很成熟，改进空间不大，所以提高术后护理干预效果对减少手术并发症、促进患 者的康复具有重要价值。作者收集121例颈椎病手术患者,分组采用快速康复护 理路径和常规护理方式，并对两种护理方式的疗效进行了对比分析,现报道如下： 1.1资料和方法 临床资料:选取我院2012年3月至2015年3月收治121例颈椎病前路手术 患者，男70例，