阶梯式康复护理干预对接受微创手术的腰椎间盘突出患者疼痛程度的影响

魏雅丽，王璟

（北京市丰盛中医骨伤专科医院脊柱关节科，北京，100030）

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摘要：

目的 探讨阶梯式康复护理干预对接受微创手术腰椎间盘突出患者疼痛程度的影响。方法 选择于我院就诊的108例 接受微创手术治疗的腰椎间盘突出患者为研究对象，随机分为观察组（n=54）和对照组（n=54），对照组给予常规护理，观察组采取阶梯式康复护理干预。随访3个月，比较两组患者的VAS评分。结果 术后，两组VAS 评分均明显降低（P<0.05）；术后1周、1个月时，观察组VAS评分均明显低于对照组（P< 0.05），但是术后3个月，两组VAS评分比较，差异无统计学意义 （P>0.05）。结论 阶梯式康复护理干预有助于减轻接受微创手术的腰椎间盘突出症患者的疼痛程度，具有积极的临床意义。

关键词：阶梯式康复护理；腰椎间盘突出；微创手术

中图分类号：R473.6 文献标志码：A文章编号：2096-1413(2017)05-0178-02

Effect of ladder type rehabilitation nursing intervention on the pain degree of

patients with lumbar disc herniation undergoing minimally invasive surgery
WEI Ya-li, WANG Jing
(Department of Spine and Joint, Beijing Fengsheng Chinese Orthopedics Hospital, Beijing 100030, China)

ABSTRACT: Objective To explore the effect of ladder type rehabilitation nursing intervention on pain degree of patients with lumbar disc herniation undergoing minimally invasive surgery. Methods One hundred and eight cases of patients with lumbar disc herniation who treated with minimally invasive surgery in our hospital were selected. All the patients were randomly divided into observation group (n=54) and control group (n=54). The control group was given routine nursing, while the observation group accepted ladder type rehabilitation nursing intervention. After followed up for 3 months, the VAS scores of the two groups were compared. Results After operation, the VAS scores of the two groups all decreased (P<0.05);
1 week and 1 month after operation, the VAS scores of the observation group were lower than those of the control group (P<0.05); while 3 months after operation, the VAS scores of two groups had no significant difference (P>0.05). Conclusion Ladder type rehabilitation nursing intervention is helpful to reduce the degree of pain in patients with lumbar disc herniation undergoing minimally invasive surgery, and it has positive clinical significance.
KEYWORDS: ladder type rehabilitation nursing intervention; lumbar disc herniation; minimally invasive surgery

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