综合护理干预在经皮椎间孔镜治疗腰椎间盘突出症患者护理中的应用

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摘要目的探究综合护理干预在经皮椎间孔镜治疗腰椎间盘突出症（LDH）患者护理中的应用效果。方法选取2019年1～4月在华中科技大学协和深圳医院行经皮椎间孔镜治疗的94例LDH患者作为研究对象，采用随机数字表法将其分为观察组和对照组，每组各47例。对照组给予基础护理干预，观察组进行综合护理干预，比较两组的治疗及恢复效果、手术前后视觉模拟疼痛（VAS）评分及护理满意度。结果观察组的术后恢复优良率高于对照组，差异有统计学意义（P＜0.05）；经不同的护理干预，两组的VAS评分低于护理前，且观察组护理后的VAS评分低于对照组，差异均有统计学意义（P＜0.05）；观察组的护理总满意度为95.74%%，高于对照组，差异有统计学意义（P＜0.05）。结论对经皮椎间孔镜治疗LDH患者实施综合护理干预，能显著减轻患者疼痛感，加快患者的术后恢复。

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	张瑞娟
	庄惜兰
	胡鹏涛

关键词 ：经皮椎间孔镜, 腰椎间盘突出症, 护理措施, 干预效果

Abstract：Objective To explore the effect of comprehensive nursing intervention in the nursing of patients with lumbar disc herniation(LDH)treated by percutaneous transluminal foramen endoscopy.Methods A total of 94 patients with LDH who were treated by percutaneous transluminal foramen endoscopy in Huazhong University of Science and Technology Union Shenzhen Hospital from January to April 2019 were selected as research objects.The patients were divided into the observation group and the control group by random digital table method,47 cases in each group.The patients in the control group received basic nursing intervention during perioperative period,and the patients in the observation group received comprehensive nursing intervention.The treatment and recovery effects,visual analog pain(VAS)scores and nursing satisfaction before and after operation were compared between the two groups.Results The excellence rate of the observation group was higher than that in the control group,the difference was statistically significant(P＜0.05).After different nursing interventions,the VAS scores of the two groups were lower than those before nursing,the VAS score of the observation group after nursing was lower than that of the control group,and the differences were statistically significant(P＜0.05).The comprehensive nursing total satisfaction of the observation group was 95.74%,higher than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion Comprehensive nursing intervention for patients with LDH treated by percutaneous transluminal foramen endoscopy can significantly reduce the pain of patients and accelerate the postoperative recovery of patients.

Key words： Percutaneous transluminal foramen endoscopy Lumbar disc herniation Nursing measures Intervention effect

引用本文:

张瑞娟；庄惜兰；胡鹏涛. 综合护理干预在经皮椎间孔镜治疗腰椎间盘突出症患者护理中的应用[J]. 中国当代医药, 2021, 28(15): 274-276.
ZHANG Rui-juan；ZHUANG Xi-lan；HU Peng-tao. Application of comprehensive nursing intervention in nursing of patients with lumbar disc herniation treated by percutaneous transluminal foramen endoscopy. 中国当代医药, 2021, 28(15): 274-276.

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