临床护理路径在手术室腰椎间盘突出症胶原酶溶解术患者中的应用效果观察(1)
[摘要] 目的 探讨临床护理路径在手术室腰椎间盘突出症胶原酶溶解术患者中的应用效果。 方法 选择2011年10月~2015年10月入住我院的86例腰椎间盘突出症患者,按照护理方法分为对照组(n=43)与观察组(n=43),分别采用常规护理与临床护理路径,比较两组护理效果。 结果 (1)观察组临床有效率为88.38%(38/43),显著高于对照组(67.44%,29/43)(P<0.05);(2)两组患者护理后VAS及ODI评分均显著小于护理前(P<0.05~0.01),且观察组患者优于对照组(P<0.05);(3)观察组患者护理满意度为100.00%(43/43),显著高于对照组(81.40%,35/43)(P<0.05)。 结论 临床护理路径在手术室腰椎间盘突出症胶原酶溶解术患者中的应用效果显著,应加以推广。
[关键词] 胶原酶溶解术;腰椎间盘突出症;临床护理路径;满意度;VAS
[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701(2016)21-0155-03
[Abstract] Objective To explore the application effect of clinical nursing pathway in operating room patients with lumbar disc herniation by collagenase lysis. Methods In our hospital from October 2011 to October 2015, 86 cases patients with Lumbar disc herniation were randomly divided into control group (n=43) and observation group(n=43), treated with routine nursing and clinical care path respectively. The nursing effects were compared between two groups. Results (1)The effective rate of observation group was 88.38%(38/43), significantly higher than that in the control group(67.44%, 29/43),the difference was significant(P<0.05); (2) after treatment,the VAS and ODI scores of two groups were significantly less than before treatment(P<0.05), and observation group was significantly lower than that in the control group(P<0.05); (3) the care satisfaction of observation group was 100.00%(43/43), significantly higher than that in the control group(81.40%, 35/43),the difference was significant(P<0.05). Conclusion The clinical nursing path in operating room patients with lumbar disc herniation by collagenase lysis is remarkable and it is should be promoted.
[Key words] Collagenase injection; Lumbar disc herniation; Clinical care path; Satisfaction;VAS
腰椎间盘突出症属于临床上常见的一种疾病,且患者治疗后临床复发率较高,主要表现为椎间盘变性、髓核突出以及纤维环发生破裂等[1],从而对神经根、马尾神经等产生压迫作用,对患者正常生活及工作产生较大的影响,病情反复发作会对患者的身心及家庭带来了巨大的压力[2,3]。目前,临床治疗腰椎间盘突出症的方式有很多,其中外科手术治疗为常见的治疗手段,其治疗效果较为理想,但其对患者机体的创伤性较大,且预后时间较长。目前,临床上一般采用胶原酶溶解术治疗腰椎间盘突出症患者,获得了非常理想的效果。在对患者采取手术治疗的同时,还应给予科学的护理干预措施。本研究主要将临床护理路径用于手术室腰椎间盘突出症胶原酶溶解术患者的临床护理之中,探讨其疗效,现报道如下。
1 资料与方法
1.1 一般资料
选取2011年10月~2015年10月入住我院的86例经CT或者MRI或者术后病理确诊的腰椎间盘突出症患者,按照护理方法分为对照组(n=43)与观察组(n=43)。对照组:男29例,女14例;年龄22~66岁,平均(49.29±3.78)岁;病程6个月~2年,平均(10.29±0.78)个月;发病节段:L4~L5为26例,L5~S1为17例;疼痛部位:左腰17例,右腰19例,双腰7例。观察组:男28例,女15例;年龄21~67岁,平均(49.12±3.66)岁;病程5个月~2年,平均(10.38±0.81)个月;发病节段:L4~L5为28例,L5~S1为15例;疼痛部位:左腰15例,右腰20例,双腰8例。两组一般资料比较差异无统计学意义(P>0.05),具有可比性。
1.2 纳入及排除标准
纳入标准[4]:①存在神经走向分布的皮肤麻木症状;②疼痛呈现典型的坐骨神经分布区疼痛;③直腿抬高减少幅度为50%,且弓弦试验呈现阳性;④存在肌肉萎缩、感觉衰减以及反射下降等方面的征象。排除标准:排除妊娠期或哺乳期、甲亢/甲减、严重过敏史、精神病史等。, http://www.100md.com(李迎春)
[关键词] 胶原酶溶解术;腰椎间盘突出症;临床护理路径;满意度;VAS
[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701(2016)21-0155-03
[Abstract] Objective To explore the application effect of clinical nursing pathway in operating room patients with lumbar disc herniation by collagenase lysis. Methods In our hospital from October 2011 to October 2015, 86 cases patients with Lumbar disc herniation were randomly divided into control group (n=43) and observation group(n=43), treated with routine nursing and clinical care path respectively. The nursing effects were compared between two groups. Results (1)The effective rate of observation group was 88.38%(38/43), significantly higher than that in the control group(67.44%, 29/43),the difference was significant(P<0.05); (2) after treatment,the VAS and ODI scores of two groups were significantly less than before treatment(P<0.05), and observation group was significantly lower than that in the control group(P<0.05); (3) the care satisfaction of observation group was 100.00%(43/43), significantly higher than that in the control group(81.40%, 35/43),the difference was significant(P<0.05). Conclusion The clinical nursing path in operating room patients with lumbar disc herniation by collagenase lysis is remarkable and it is should be promoted.
[Key words] Collagenase injection; Lumbar disc herniation; Clinical care path; Satisfaction;VAS
腰椎间盘突出症属于临床上常见的一种疾病,且患者治疗后临床复发率较高,主要表现为椎间盘变性、髓核突出以及纤维环发生破裂等[1],从而对神经根、马尾神经等产生压迫作用,对患者正常生活及工作产生较大的影响,病情反复发作会对患者的身心及家庭带来了巨大的压力[2,3]。目前,临床治疗腰椎间盘突出症的方式有很多,其中外科手术治疗为常见的治疗手段,其治疗效果较为理想,但其对患者机体的创伤性较大,且预后时间较长。目前,临床上一般采用胶原酶溶解术治疗腰椎间盘突出症患者,获得了非常理想的效果。在对患者采取手术治疗的同时,还应给予科学的护理干预措施。本研究主要将临床护理路径用于手术室腰椎间盘突出症胶原酶溶解术患者的临床护理之中,探讨其疗效,现报道如下。
1 资料与方法
1.1 一般资料
选取2011年10月~2015年10月入住我院的86例经CT或者MRI或者术后病理确诊的腰椎间盘突出症患者,按照护理方法分为对照组(n=43)与观察组(n=43)。对照组:男29例,女14例;年龄22~66岁,平均(49.29±3.78)岁;病程6个月~2年,平均(10.29±0.78)个月;发病节段:L4~L5为26例,L5~S1为17例;疼痛部位:左腰17例,右腰19例,双腰7例。观察组:男28例,女15例;年龄21~67岁,平均(49.12±3.66)岁;病程5个月~2年,平均(10.38±0.81)个月;发病节段:L4~L5为28例,L5~S1为15例;疼痛部位:左腰15例,右腰20例,双腰8例。两组一般资料比较差异无统计学意义(P>0.05),具有可比性。
1.2 纳入及排除标准
纳入标准[4]:①存在神经走向分布的皮肤麻木症状;②疼痛呈现典型的坐骨神经分布区疼痛;③直腿抬高减少幅度为50%,且弓弦试验呈现阳性;④存在肌肉萎缩、感觉衰减以及反射下降等方面的征象。排除标准:排除妊娠期或哺乳期、甲亢/甲减、严重过敏史、精神病史等。, http://www.100md.com(李迎春)