快速康复训练在高龄多节段退行性腰椎管狭窄症患者围术期护理中的效果分析
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冯宜蒀，刘小勤，韩国炜，王钰艳，彭坤楠
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1.甘肃中医药大学附属医院，甘肃兰州，730000；2.甘肃中医药大学，甘肃兰州，730000
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摘要：目的 分析将快速康复训练应用于多节段退行性腰椎管狭窄症的高龄患者围术期护理中的干预效果。方法 以在本院行多节段退行性腰椎管狭窄症治疗的高龄患者为研究对象，均选自2023 年1 月至2025 年1 月，共有86 例。经由随机数字表法分组上述患者，比照组（采取围术期常规护理）、观察组（采取围术期常规护理基础上的快速康复训练）各有患者43 例。比较、分析两组患者的腰椎活动度、疼痛情况、腰椎功能与日常生活活动能力、干预满意度。结果 相较于入院时，两组患者出院时腰椎各活动度均升高，且观察组高于比照组，比较有差异性（P＜0.05）。相较于入院时，两组患者出院1 个月时McGill 评分、ODI 评分均降低，且观察组低于比照组；ADL 评分均升高，且观察组高于比照组，比较有差异性（P＜0.05）。两组干预满意度相比，观察组高于比照组，比较有差异性（P<0.05）。结论将快速康复训练用于多节段退行性腰椎管狭窄症的高龄患者围术期护理中效果颇佳，能够使患者腰椎活动度、腰椎功能提升，并减轻患者疼痛，提高患者日常生活活动能力与护理满意度，具有较高临床应用价值，可予以借鉴。
关健词：快速康复训练；高龄；多节段退行性腰椎管狭窄症；围术期护理
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Analysis of the effect of Rapid Rehabilitation Training in perioperative Nursing of elderly Patients with multi-segment degenerative Lumbar Spinal stenosis
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Yiyun Feng,Xiaoqin Liu,Guowei Han,Yuyan Wang,Kunnan Peng
1.Gansu University of Chinese Medicine Affiliated Hospital，Lanzhou Gansu 730000，China；2.Gansu University of Chinese Medicine，Lanzhou Gansu 730000，China
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Abstract：Objective To analyze the intervention effect of applying rapid rehabilitation training in the perioperative care of elderly patients with multi-segment degenerative lumbar spinal stenosis. Methods Elderly patients who underwent treatment for multi-segment degenerative lumbar spinal stenosis in our hospital were selected as the research subjects. All cases were selected from January 2023 to January 2025, totaling 86 cases. The above-mentioned patients were grouped by the random number table method. There were 43 patients in each of the control group (receiving routine perioperative care) and the observation group (receiving rapid rehabilitation training based on routine perioperative care). Compare and analyze the lumbar spine range of motion, pain conditions, lumbar spine function and activities of daily living, as well as intervention satisfaction of the two groups of patients.Results Compared with admission, the range of motion of the lumbar vertebrae in both groups increased at discharge, and the range of motion in the observation group was higher than that in the control group, with a significant difference (P < 0.05). Compared with admission, the McGill scores and ODI scores of both groups of patients decreased one month after discharge, and the scores of the observation group were lower than those of the control group. The ADL scores of all groups increased, and those of the observation group were higher than those of the control group, with a significant difference (P < 0.05). The comparison of intervention satisfaction between the two groups showed that the observation group was higher than the control group, with a significant difference (P<0.05).Conclusion The application of rapid rehabilitation training in the perioperative care of elderly patients with multi-segment degenerative lumbar spinal stenosis has achieved remarkable results. It can enhance the lumbar range of motion and lumbar function of patients, alleviate their pain, improve their ability to perform daily activities and nursing satisfaction, and has high clinical application value, which can be referred to.
Keywords : Rapid Rehabilitation Training Advanced age; Multisegmental degenerative lumbar spinal stenosis Perioperative care
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