摘要
目的探讨加速康复外科(enhanced recovery after surgery,ERAS)理念在手法复位治疗腰椎小关节紊乱护理中的应用。方法选取2019年5月至2020年11月在我院骨科门诊接受冯天有教授的"脊柱定点旋转复位法"手法复位后进一步入院治疗的腰椎小关节紊乱病人76例,采用随机数字表将病人分为观察组(39例)和对照组(37例)。观察组使用ERAS理念护理模块施加干预,对照组采用传统护理模式进行护理管理。采用疼痛视觉模拟量表(visual analogue scale,VAS)和Oswestry功能障碍指数(Oswestry disability index,ODI)评估两组手法治疗前后、入院7 d、出院1个月的腰椎疼痛改善情况和腰椎功能恢复情况。结果手法治疗后,两组VAS评分和ODI均较前一时间点明显改善和恢复,差异均有统计学意义(P<0.05);出院后1个月,两组VAS评分和ODI组间比较,差异均有统计学意义(P<0.05)。结论ERAS理念应用于手法复位的腰椎小关节紊乱病人,可强化和巩固手法复位的治疗效果,为临床护理工作提供了较优的管理策略。
Objective To explore the clinical effect of enhanced recovery after surgery(ERAS)concept with manipulative bone setting in the nursing care of lumbar facet-joint disorders.Methods Totally,76 patients with lumbar facet disorders who received Feng’s“spine fixed-point rotation reduction method”manual reduction in the orthopaedic clinic of our hospital from May 2019 to November 2020 were selected.Thepatients were randomly divided into observation group(39 cases)and control group(37 cases).The observationgroup was subjected to ERAS concept nursing module for intervention,and the control group was giventraditional nursing mode for nursing management.The alleviation of lumbar pain and the recovery of lumbarfunction before and after manual treatment,7 d after admission and 1 month after discharge were evaluated byvisual analogue scale(VAS)and Oswestry disability index(ODI).Results After manual treatment,the VASscore and ODI of the two groups were significantly improved and recovered compared with the previous timepoint,and the difference was statistically significant(P<0.05).One month after discharge,there was significantdifference in VAS score and ODI between the two groups(P<0.05).Conclusion The application of ERAS innursing of patients with lumbar facet-joint disorders treated by manipulative setting can maintain andconsolidate the treatment effect,which provides a better management strategy for clinical nursing.
作者
刘珊
王春香
孙荣丽
王君
孟兆宁
王建梅
甘璐
韩立存
LIU Shan;WANG Chun-xiang;SUN Rong-li;WANG Jun;MENG Zhao-ning;WANG Jian-mei;GAN Lu;HAN Li-cun(Department of Orthopaedics,Air Force Medical Center,Air Force Medical University,Beijing 100142,China)
出处
《骨科》
CAS
2022年第1期66-70,共5页
ORTHOPAEDICS
关键词
加速康复
手法复位
腰椎小关节紊乱
护理
Enhanced recovery after surgery
Manipulative bone setting
Lumbar facet-joint disorder
Nursing
