中西医结合护理 (Dec 2023)
Application of collateral-dredging tendon-strengthening exercise in postoperative rehabilitation of patients undergoing spinal surgery (通络强筋护脊操在脊柱手术患者术后康复中的应用效果观察)
Abstract
Objective To investigate the effect of collateral-dredging tendon-strengthening exercise on postoperative rehabilitation of patients undergoing spinal surgery. Methods A convenience sample of 140 patients undergoing spinal surgery under general anesthesia were included as research objects. According to the ward distribution, 77 cases (55 cases of lumbar surgery and 22 cases of cervical spine surgery) from east area of wards were recruited as the observation group, and 63 cases (50 cases of lumbar surgery and 23 cases of cervical spine surgery) form west area of wards were included as the control group. The routine 5-step manual exercise was adopted in the controlgroup, and collateral-dredging tendon-strengthening exercise combined with 5-step manual exercise was carried out in the observation group. The Visual Analogue Scale (VAS) of postoperative pain and Japanese Orthopedic Association (JOA) score were compared between two groups. Results The VAS score was decreased at two weeks after surgery, and VAS score in the observation group was lower than that in the control group (P＜0. 01). The JOA score was increased at two weeks after surgery, and JOA score in the observation group was higher than that in the control group (P＜0. 01). Conclusion The collateral-dredging tendon-strengthening exercise is effective to relieve the postoperative pain, symptoms and signs of patients undergoing spinal surgery. It is a cost-effectiveness and easy-to-operate exercise for postoperative recovery of spinal surgery. (目的 探讨通络强筋护脊操在脊柱术后患者康复中的应用效果。方法 采取便利抽样方法, 选取科室2022年1月—12月行全麻下脊柱手术患者140例为研究对象。根据病区划分, 东区55例腰椎手术患者和22例颈椎手术患者设为观察组, 西区50例腰椎手术患者和13例颈椎手术患者设为对照组。对照组术后按常规指导卧床患者五步徒手锻炼法, 观察组在常规基础上指导行通络强筋护脊操锻炼。于入院时、术后2周分别行疼痛视觉模拟(VAS)评分和日本骨科协会评估治疗(JOA)评分, 比较两组患者疼痛改善情况和功能障碍恢复情况。结果 术后2周, 两组疼痛VAS评分均下降, 且观察组患者VAS评分低于对照组, 差异有统计学意义(P＜0. 01)。术后2周, 两组患者JOA评分均上升, 且观察组患者JOA评分高于对照组, 差异有统计学意义(P＜0. 01)。结论 通络强筋护脊操对脊柱手术患者术后疼痛、专科症状及体征均有较好的改善作用, 既能节约治疗费用, 又简便易行, 值得借鉴。)
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