【摘要】：目的探討中醫(yī)綜合護理對腰椎手術(shù)患者快速康復(fù)的干預(yù)效果。方法將100例腰椎手術(shù)患者分為對照組50例和觀察組50例。對照組采用腰椎手術(shù)常規(guī)護理,觀察組在常規(guī)護理基礎(chǔ)上結(jié)合中醫(yī)綜合護理進行干預(yù)。比較兩組患者術(shù)后VAS、JOA評分,術(shù)后惡心嘔吐、腹脹、傷口疼痛、失眠、眩暈等不適癥狀的發(fā)生率,以及住院時間和滿意度。結(jié)果術(shù)后72 h兩組患者VAS評分均較術(shù)后麻醉清醒后降低(P0.05),JOA評分均較術(shù)后麻醉清醒后提高(P0.05),而觀察組患者VAS、JOA評分的改善明顯優(yōu)于對照組(P0.05)。觀察組患者術(shù)后惡心嘔吐、腹脹、傷口疼痛、失眠、眩暈的發(fā)生率均明顯低于對照組(P0.05)。與對照組比較,觀察組患者住院時間明顯縮短(P0.05),滿意度明顯提高(P0.05)。結(jié)論采用中醫(yī)綜合護理干預(yù)能有效減少腰椎術(shù)后患者的各種不適,促進患者快速康復(fù),臨床效果滿意,對腰椎術(shù)后快速康復(fù)的意義重大。
[Abstract]:Objective To study the effect of comprehensive nursing on the rapid rehabilitation of patients with lumbar operation. Methods 100 cases of lumbar operation were divided into control group (50 cases) and observation group (50 cases). In the control group, the traditional nursing of the lumbar operation was adopted, and the observation group interfered with the comprehensive nursing of the traditional Chinese medicine on the basis of routine nursing. The incidence of postoperative VAS, JOA score, postoperative nausea and vomiting, abdominal distention, wound pain, insomnia, and dizziness were compared between the two groups, as well as the hospital stay and the degree of satisfaction. Results The VAS scores of the two groups were lower after the post-operation (P0.05). The scores of the JOA were improved after the post-operation anesthesia (P0.05). The VAS and JOA scores of the patients in the observation group were better than those in the control group (P0.05). The incidence of nausea and vomiting, abdominal distention, wound pain, insomnia and vertigo in the observation group was significantly lower than that in the control group (P0.05). Compared with the control group, the hospital stay time of the observation group was significantly shortened (P0.05), and the degree of satisfaction was improved significantly (P0.05). Conclusion The comprehensive nursing intervention of the traditional Chinese medicine can effectively reduce the various discomfort of the patients after the operation of the lumbar vertebra, promote the rapid rehabilitation of the patients and the satisfaction of the clinical effect, and is of great significance to the rapid rehabilitation after the operation of the lumbar vertebra.
【作者單位】： 廣東省中醫(yī)院脊柱科;
【基金】：廣東省企業(yè)技術(shù)研發(fā)與升級改造專項資金項目計劃(編號:2013B021800243)
【分類號】：R248.2

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