微创椎间孔镜手术治疗腰椎间盘突出症的护理解析

㊃研究荟萃㊃

微创椎间孔镜手术治疗腰椎间盘突出症的护理

邵长凤

277800山东省枣庄市中医医院外科通信作者:邵长凤,Email :xclliming@

DOI:10.3760/cma.j.issn.1674-2907.2016.04.028

ʌ摘要ɔ㊀目的㊀探讨微创椎间孔镜治疗腰椎间盘突出症的护理方法及效果㊂方法㊀对山东省枣庄市中医医院2012年6月 2013年10月收治的40例腰椎间盘突出症患者,实施微创经皮椎间孔镜手术(PELD),在内镜直视下摘除突出的髓核组织㊁封闭破损的纤维环,并给予围术期护理,包括心理护理㊁康复功能锻炼㊁饮食㊁出院指导等㊂结果㊀本组40例患者术后下肢放射痛VAS 评分及腰背痛ODI 评分与术前比较,差异有统计学意义(P <0.05),术后不同点比较,差异无统计学意义(P >0.05)㊂术后3个月神经功能恢复情况,以改良的Macnab 标准评定,优24例(疼痛消失㊁无运动功能受限㊁恢复正常工作和活动);良15例(偶有疼痛㊁能做轻工作);中1例(有些改善㊁仍有疼痛),优良率为97.5%㊂结论㊀合理的护理及康复功能训练指导是提高医疗护理质量水平,为患者提供优质护理服务的重要保障㊂

ʌ关键词ɔ㊀椎间孔镜;㊀腰椎间盘突出症;㊀护理

Nursing care of lumbar disc herniation after minimally invasive transforaminal endoscopic surgery ㊀Shao Changfeng

Surgery Department ,Zaozhuang Hospital of Traditional Chinese Medicine ,Zaozhuang 277800,China Corresponding author :Shao Changfeng ,Email :xclliming @

ʌAbstract ɔ㊀Objective ㊀To explore the methods of nursing care and the effects of lumbar disc herniation treated by minimally invasive intervertebral foramen mirror.Methods ㊀A total of 40patients with lumbar disc herniation were selected from June 2012to October 2013in Zaozhuang Hospital of TCM and percutaneous endoscopic lumbar discectomy (PELD)was operated for them which involved to remove prominent nucleus pulposus tissue and seal broken fiber ring under the endoscope.At the same time,Perioperative nursing care was applied to them including psychological care,rehabilitation exercise,diet and discharge guidance and so on.Results ㊀The differences were statistically significant in scores of VAS in lower limb pain and ODI in low back pain among 40patients before and after operation (P <0.05).After operation,there were no significant differences among different points (P >0.05).Classes of recovery about neurological function included excellent level for 24patients (pain disappearing,no limitation of movement function,returning to work or normal activity),good for 15(with occasional pain,able to do light work),medium for 1(some improvement,with pain)with excellent rate of 97.5%.Conclusions ㊀It is an important guarantee for improving quality of nursing and providing high quality nursing care for patients,so as to nurses can conduct nursing and rehabilitation function training guidance reasonably.

ʌKey words ɔ㊀Intervertebral foramen mirror;㊀Lumbar disc herniation;㊀Nursing care

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(收稿日期:2015-01-30)

(本文编辑:高丛菊)