规范化康复护理对脊髓型颈椎病行颈椎前路手术患者的影响

doi:10.3969/j.issn.1000-8535.2020.01.020

广州医药 ›› 2020, Vol. 51 ›› Issue (1): 86-91.DOI: 10.3969/j.issn.1000-8535.2020.01.020

规范化康复护理对脊髓型颈椎病行颈椎前路手术患者的影响

陈翠萍, 蒋耀颖, 温世锋

广州市第一人民医院(广州510180)

收稿日期:2019-05-20 出版日期:2020-01-20 发布日期:2021-11-28

Effect of standardized rehabilitation nursing on patients undergoing anterior cervical spondylotic surgery for spinal cervical spondylosis

CHEN Cuiping, JIANG Yaoying, WEN Shifeng

Guangzhou First People's Hospital, Guangzhou 510180,China

Received:2019-05-20 Online:2020-01-20 Published:2021-11-28

摘要/Abstract

摘要： 目的探讨规范化康复护理在脊髓型颈椎病前路手术术后功能恢复的影响。方法将60例行颈椎前路椎间隙减压植骨融合内固定术的患者分为观察组和对照组各30例。对照组实施常规护理,观察组实施规范化康复护理措施。分别在出院时、出院后1、3、6个月进行日本骨科协会脊髓功能JOA评分、颈椎功能残障指数NDI评分、疼痛视觉模拟VAS评分、生活自理能力评分以及记录两组住院时间、术后并发症发生率。结果手术后观察组与对照组的平均住院时间、术后并发症、术后脊髓功能恢复情况、颈椎功能恢复、生活自理能力的差异有统计学意义(P<0.05);观察组的平均住院时间均低于对照组(P<0.05);术后脊髓功能功能评分、生活自理能力评分均高于对照组(P<0.05);颈椎功能残障指数评分、术后并发症发生率均低于对照组(P<0.05)。结论规范化康复护理可以促进脊髓型颈椎病行前路手术术后脊髓、颈椎功能的恢复,减少住院时间,减少术后并发症的发生,提高患者生活自理能力,提高生活质量。

关键词: 脊髓型脊椎病, 规范化康复护理, 颈椎功能恢复, 生活自理能力

Abstract: Objective To investigate the effect of standardized rehabilitation nursing on functional recovery of cervical spondylotic myelopathy (CSM) after anterior operation. Methods Sixty patients were divided into two groups: observation group (n = 30) and control group (n = 30). Routine nursing was carried out in the control group and standardized rehabilitation nursing measures were carried out in the observation group. At the time of discharge, 1,3,6 months after discharge, the JOA score of spinal cord function of the Japanese Orthopaedics Association, the NDI score of cervical spine disability index, the VAS score of visual analogue of pain, the score of self-care ability of life were taken. The length of hospitalization of the two groups and incidence of postoperative complications were recorded. Results There were significant differences in average hospitalization time, postoperative complications, recovery of spinal cord function, recovery of cervical spine function and ability of living self-care between the observation group and the control group after operation (P<0.05). The average hospitalization time in the observation group was lower than that in the control group (P<0.05), and the scores of spinal cord function and self-care ability after operation were higher than those in the control group (P<0.05). The score of cervical disability index and the incidence of postoperative complications were lower than those of the control group (P<0.05). Conclusion Standardized rehabilitation nursing may promote the recovery of spinal cord and cervical spine function, reduce hospital stay, reduce postoperative complications, improve the self-care ability of patients and improve the quality of life.

Key words: Cervical spondylotic myelopathy, Standardized rehabilitation nursing, Cervical vertebra functional recovery, Self-care ability

陈翠萍, 蒋耀颖, 温世锋. 规范化康复护理对脊髓型颈椎病行颈椎前路手术患者的影响[J]. 广州医药, 2020, 51(1): 86-91.

CHEN Cuiping, JIANG Yaoying, WEN Shifeng. Effect of standardized rehabilitation nursing on patients undergoing anterior cervical spondylotic surgery for spinal cervical spondylosis[J]. Guangzhou Medical Journal, 2020, 51(1): 86-91.

参考文献

[1] 张迎春,蔡平,陈刚. 快速康复外科理念对脊髓型颈椎病手术病人生活质量的影响[J]. 全科护理,2017,15(9):1076-1078.
[2] RAJASCKARAN S,YERRAMSHETTY J S,CHITTODE V S, et al. The assessment of neuronal status in normal and cervical spondylotic my- elopathy using diffusion tensor imaging[J]. Spine,2014,39(15):1183-1189.
[3] ZOHER G,BENZEL E C,HEARY R F, et al. Cervical spondylotic myelop-athy surgical trial:randomized.controlled trial design and rationale[J]. Neurosurg,2014,75(4):334 -346.
[4] 杨林,林利.彩色多普勒超声诊断甲状腺动脉损伤致颈部巨大血肿1例[J]. 华南国防医学杂志,2014,26(6):617-618.
[5] SCHOLZ M, REYES P M, SCHLEICHER P, et al. A new stand-alone cervical anterior interbody fusion device: biomechani-cal comparison with established anterior cervical fixation devices[J]. Spine, 2009, 34(2):156-160.
[6] 王芳,蒋耀颖,刘洁珍,等. 呼吸道梗阻风险评估表在预防颈椎前路手术患者术后呼吸道梗阻中的应用[J]. 中国实用医药,2017,12(9):165-167.
[7] 张荣侠,石林林,杨英果,等. 脊髓型颈椎病患者的围手术期护理及早期康复训练[J]. 当代护士,2017(3):70-71.
[8] 严晓云,李玉伟,温艳, 等. 零切迹椎间融合内固定系统治疗脊髓型颈椎病患者的护理[J]. 中华护理杂志,2015,50(9):1052-1054.
[9] 张宪或,吴小华,邹逢文,等. 微型钛板与侧块螺钉手术治疗多节段脊髓型颈椎病的临床观察[J]. 现代医院,2016,16(11):1570-1571
[10] 黄芳.延续护理对神经根型颈椎病的效果评价 [J]. 中国实用神经疾病杂志,2017,20(08):141-143.
[11] 严晓云,李玉伟.颈后路微型钛板固定椎管扩大成形术患者的早期康复护理[J].护理学杂志,2014,29( 2) : 83-84.
[12] 陈钱,赵金灿,李慧,等. 胸腰椎骨折内固定术后患者早期康复护理与常规性护理的对照研究[J]. 广州医药,2017,48(4):96-99
[13] 黄志玲,王玉翠,杨雪红,等. 丘雪梅综合性围手术期护理对于脊髓型颈椎病患者的护理效果评价[J]. 中国社区医师,2017,33(16):143-144.

规范化康复护理对脊髓型颈椎病行颈椎前路手术患者的影响

Effect of standardized rehabilitation nursing on patients undergoing anterior cervical spondylotic surgery for spinal cervical spondylosis

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