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腰椎间盘髓核摘除术临床护理路径应用研究 被引量:3

Application of clinical nursing pathway for lumbar discectomy patients
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摘要 目的探讨腰椎间盘髓核摘除术相关护理路径的应用效果。方法通过分析138例腰椎间盘突出症患者的临床资料,随机分为观察组和对照组各69例,对照组患者给予常规护理,观察组患者给予临床护理路径护理,护理结束观察2组临床护理疗效。结果护理结束观察组患者临床有效率为92.75%,对照组临床有效率为79.71%,比较差异有统计学意义(P<0.05);观察组患者对临床护理满意65例(94.20%),对照组满意56例(81.16%),比较差异有统计学意义(P<0.05);观察组临床住院时间、住院费用显著低于对照组,比较差异有统计学意义(P<0.05);观察组有2例患者出现并发症,发生率为2.90%,复发率为0,对照组出现并发症患者有9例占比13.04%,复发率为4.35%,比较差异有统计学意义(P<0.05)。结论临床护理路径用于腰椎间盘髓核摘除术患者临床护理中可有效减轻患者疼痛、有效降低术后并发症发生率,并加速患者恢复,临床值得推广。 Objective To investigate effect of nursing pathway for patients with lumbar discectomy. Methods A total of 138 patients with lumbar disc herniation treated in our hospital were randomly divided into control group treated with routine care and observation group given clinical nursing pathway,clinical nursing efficacy of two groups was compared. Results The clinical nursing efficacy was 92. 75%,and was 79. 71% in the control group,and there was statistically significant difference( P 〈 0. 05). A total of 65 patients( 94. 20%) in the observation group and 56 cases( 81. 16%) in the control group were satisfied with nursing,and there was statistically significant difference( P 〈 0. 05). Clinical hospital stay and hospital costs in the observation group were significantly lower than the control group,the difference was statistically significant( P 〈 0. 05). There were two patients( 2. 90%) in the observation group with complications and there were no patients with recurrence. There were 9 cases( 13. 04%) in the control group with complications,and its recurrence rate was 4. 35%. The incidence of postoperative complications and recurrence of two groups were statistically significant difference( P 〈 0. 05). Conclusion The clinical nursing pathway for lumbar discectomy patients can effectively reduce pain,reduce the incidence of postoperative complications and accelerate patients’ recovery,so it is worthy of promotion.
出处 《实用临床医药杂志》 CAS 2016年第20期64-66,共3页 Journal of Clinical Medicine in Practice
关键词 腰椎间盘髓核摘除术 护理路径 临床疗效 lumbar discectomy nursing pathway clinical efficacy
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