摘要
目的:探究强化术中护理在腰椎间盘突出症患者手术机器人辅助下后侧入路腰椎间融合术中的效果。方法:选取2022年1—12月于新疆医科大学附属中医医院行手术机器人辅助下后侧入路腰椎间融合术治疗的腰椎间盘突出症患者80例为研究对象,采用随机数字表法分为对照组、观察组,各40例。对照组采用常规围术期护理,观察组采用强化术中护理。比较两组临床指标、视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分、术中风险事件及术后并发症发生率。结果:观察组术中出血量少于对照组,手术时间短于对照组,差异有统计学意义(P<0.05);术后1周、2周、1个月,两组VAS、ODI评分均降低,观察组低于对照组,差异有统计学意义(P<0.05);观察组术中风险事件、术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:强化术中护理在腰椎间盘突出症患者手术机器人辅助下后侧入路腰椎间融合术中效果显著,可有效减少手术风险,提高手术效率,减轻术后疼痛,促进腰椎功能恢复。
Objective:To investigate the effect of intensive intraoperative nursing in surgical robotic-assisted posterior lateral approach lumbar interbody fusion in patients with lumbar disc herniation.Methods:Eighty patients with lumbar disc herniation who underwent surgical robot-assisted posterior lateral approach lumbar interbody fusion in the Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University from January to December 2022 were selected for the study,and were divided into a control group and an observation group of forty cases each by using the method of randomized numerical table.The control group used conventional perioperative nursing,and the observation group used intensive intraoperative nursing.The clinical indexes,Visual Analogue Score(VAS),Oswestry Dysfunction Index(ODI)scores,intraoperative risk events and postoperative complication rates were compared between the two groups.Results:Intraoperative bleeding in the observation group was less than that in the control group,and the operation time was shorter than that in the control group,with statistically significant differences(P<0.05);at 1 week,2 weeks and 1 month after operation,VAS and ODI scores were reduced in both groups,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05);the incidence of intraoperative risk events and postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Intensive intraoperative nursing is effective in surgical robot-assisted posterior lateral approach lumbar interbody fusion in patients with lumbar disc herniation,which can effectively reduce surgical risk,improve surgical efficiency,reduce postoperative pain,and promote the recovery of lumbar spine function.
作者
张爱玲
吕蕾
刘新梅
Zhang Ailing;Lyu Lei;Liu Xinmei(Department of Spine First Division,Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,China)
出处
《中外医药研究》
2023年第23期121-123,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
手术机器人
强化术中护理
后侧入路腰椎间融合术
并发症
Surgical robot
Intensive intraoperative nursing
Posterior lateral approach lumbar interbody fusion
Complications
