全脊柱内镜下单侧入路双侧减压治疗腰椎管狭窄症的围术期系统护理

目的分析全脊柱内镜下单侧入路双侧减压治疗腰椎管狭窄症的围术期系统护理。方法收集2015年1月-2017年2月在我院骨科收治并确诊为腰椎管狭窄症的患者80例,根据入院顺序,随机分为2组,对照组42例,观察组38例。对照组给予常规护理,观察组给予围术期系统护理。结果术后2组腰部VAS、下肢VAS和ODI评分均明显降低(P0.05);与对照组比较,观察组术后引流量、下地活动时间和平均住院时间等术后相关指标明显降低(P0.05);对照组的满意率为64.3%,观察组为84.2%,观察组优于对照组(P0.05)。结论全脊柱内镜下单侧入路双侧减压治疗腰椎管狭窄症给予围术期系统护理可明显改善术后疗效,提高患者满意度。

Perioperative systematic nursing in the treatment of lumbar spinal stenosis by unilateral approach for bilateral decompression under the whole spinal endoscope

Objective To analyze the perioperative systematic nursing effect in the treatment of lumbar spinal stenosis by unilateral approach for bilateral decompression under the whole spinal endoscope.Methods From January 2015 to February 2017, 80 patients diagnosed as lumbar spinal stenosis treated in the orthopedic of our hospital were enrolled. According to the order of hospitalization, patients were divided into 2 groups randomly: 42 cases in the control group and 38 cases in the experimental group. The control group was given the routine nursing, and perioperative systematic nursing was given to the experimental group.Results The VAS of Waist, lower extremity and ODI scores were significantly reduced in both groups postoperation (P<0.05). The satisfaction rate of the control group was 64.3％ and that of the observation group was 84.2％. The observation group was superior to the control group (P<0.05).Conclusion After treating lumbar spinal stenosis by unilateral approach for bilateral decompression under the whole spinal endoscope, given the perioperative systematic nursing could obviously improve the postoperative efficacy and improve patient's satisfaction.