首页> 中文期刊>国际医药卫生导报 >腰椎管狭窄症患者行椎间孔镜手术后正确站姿的临床效果

腰椎管狭窄症患者行椎间孔镜手术后正确站姿的临床效果

摘要

Objective To analyze the effect of correct stance on functional recovery and pain after transforaminal endoscopic surgery for lumbar spinal stenosis,and to accumulate evidence-based experience of quality care for these special groups.Methods 50 patients with lumbar spinal stenosis who underwent transforaminal surgery at our hospital from January to September,2017 were set as a control group;traditional nursing intervention was implemented.54 cases of lumbar spinal stenosis treated by an intervertebral-assisted endoscopy from October,2017 to May,2018 were set as a study group;correct postural stance was performed on the basis of conventional interventions in the control group.The visual analogue pain scores and lumbar spine function scores were compared between the two groups before and after the intervention.Results The pain score of the study group was (5.6± 1.1),which was higher than that of the control group (7.5± 1.7) (P <0.05).The lumbar function score of the study group was (34.5±2.0),which was higher than that of the control group (60.3±4.8) (P <0.05).Conclusions For patients with lumbar spinal stenosis who underwent transforaminal surgery,proper postural stance can promote the functional recovery and reduce the degree of somatic pain,so it is worth for further promotion in clinic.%目的 分析行椎间孔镜手术治疗的腰椎管狭窄症患者采取术后正确站姿对其功能恢复和疼痛程度的影响,为这类特殊群体的优质诊疗照护积累循证经验.方法 将本院2017年1月至9月接诊的50例行椎间孔镜手术治疗的腰椎管狭窄症患者视为对照组,实施传统护理干预;将本院2017年10月至2018年5月接诊的54例行椎间孔镜手术治疗的腰椎管狭窄症患者视为研究组,在对照组传统干预基础上予以术后正确站姿.比较两组患者在干预前及干预后第4周末的视觉模拟疼痛评分、腰椎功能评分.结果 研究组干预后的疼痛程度评分为(5.6±1.1)分,低于对照组的(7.5±1.7)分;研究组干预后的腰椎功能评分(34.5±2.0)分,低于对照组(60.3±4.8)分,差异均有统计学意义(均P<0.05).结论 对行椎间孔镜手术治疗的腰椎管狭窄患者,术后实施正确站姿能促进其功能恢复,且能减轻躯体疼痛程度,值得推广.

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