摘要
目的探讨脊柱侧凸后路矫形融合术患者术后早期离床活动的安全性及有效性。方法将2018年6~9月30例脊柱侧凸后路矫形融合术患者作为对照组,2019年同期30例患者作为观察组。观察组在术后24~72h拔除伤口引流管前早期离床活动;对照组待拔除伤口引流管后离床活动。分别统计两组患者离床活动的安全性相关指标(伤口引流量、总失血量、出院前血红蛋白、伤口引流管留置时间)及有效性相关指标(首次离床活动时间、术后住院日)。结果观察组患者术后首次离床活动时间、术后住院日早于对照组,差异有统计学意义(P<0.05,P<0.01)。两组伤口引流量、总失血量、出院前血红蛋白及伤口引流管留置时间比较,差异无统计学意义(均P>0.05)。结论在规范的操作方法和步骤下,术后24~72h拔除伤口引流管前早期离床活动,不会增加脊柱侧凸后路矫形融合术后患者出血的风险,能减少术后住院日。
Objective To evaluate the safety and effect of postoperative early off-bed activities on patients receiving posterior correction and fusion surgery for scoliosis.Methods A total of 60 patients were enrolled and divided into 2 groups:the intervention group(30 cases from June 1st 2019 to September 30th 2019)were instructed to do off-bed activities within 24-72 postoperative hours and prior to wound drainage removal,while the control group(30 cases from June 1st 2018 to September 30th 2018)were instructed to do off-bed activities only after full removal of wound drainage tube.The safety related outcomes(the volume and duration of wound drainage,volume of total blood loss,hemoglobin level before discharge),and effect measures(the time to start off-bed activities after surgery,and hospital stays after surgery,indwelling time of the drainage tube),were compared between the two groups.Results The time to start off-bed activities and postoperative hospital stays in the intervention group were significantly shorter than those in the control group(P<0.05,P<0.01).No significant differences were found in the volume and duration of wound drainage,volume of total blood loss,hemoglobin level before discharge and indwelling time of the drainage tube between the two groups(P>0.05 for all).Conclusion Early off-bed activities within 24-72 postoperative hours and prior to wound drainage removal can help to decrease the hospital stay of patients receiving posterior correction and fusion surgeries for scoliosis without increasing the risk of postoperative blood loss.
作者
杨莹
田雪
佟冰渡
陈亚萍
Yang Ying;Tian Xue;Tong Bingdu;Chen Yaping(Department of Orthopaedics,Beijing Union Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第14期82-85,共4页
Journal of Nursing Science
关键词
脊柱侧凸
后路矫形融合术
早期离床活动
失血量
康复护理
scoliosis
posterior correction and fusion surgery
early off-bed activities
blood loss
rehabilitatin
