方敏 蒋旭萍 江宗华

[摘要] 目的 探討快速康复理念在经皮颈椎间盘镜手术围手术期护理中的应用价值。 方法 选取2019年6月～2020年1月在我院行皮颈椎间盘摘除术治疗的40例神经根型颈椎病患者为研究对象，以不同的护理方式将其分为观察组与对照组，每组各20例。对照组行传统围术期护理，观察组在围术期护理中应用快速康复理念，观察两组肛门排气时间、住院时间、住院费用、患者对护理工作的满意率及并发症的发生率。 结果 观察组的肛门排气时间为（1.97±0.55）d、住院时间为（5.21±1.68）d、住院费用（20198.56±738.94）元，对照组肛门排气时间为（2.51±0.67）d、住院时间为（7.69±2.41）d、住院费用（25340.99±755.48）元，观察组的肛门排气时间与住院时间均短于对照组，且住院费用少于对照组（t=3.715、3.775、21.762，P=0.041、0.046、0.008）。观察组的护理满意率（100.00%）高于对照组（80.00%）（χ2=4.444，P=0.035）;观察组并发症的发生率（5.00%）低于对照组（30.00%）（χ2=4.329，P=0.037）。 结论 在神经根型颈椎病经皮颈椎间盘摘除术围术期应用快速康复理念，可以缩短患者肛门排气与住院时间，并减少患者的医疗费用及并发症的发生，同时还能提高患者的满意度。

[关键词] 快速康复理念;神经根型颈椎病;经皮颈椎间盘摘除术;围术期;应用效果

[中图分类号] R687.3          [文献标识码] B          [文章编号] 1673-9701（2020）15-0186-03

Application of rapid rehabilitation concept in perioperative period of percutaneous cervical discectomy for cervical spondylotic radiculopathy

FANG Min   JIANG Xuping   JIANG Zonghua

Department of Neurology， Ganzhou Peoples Hospital in Zhejiang Province， Ganzhou   341000， China

[Abstract] Objective To explore the application value of rapid rehabilitation concept in perioperative nursing of percutaneous cervical discectomy（PCD）. Methods 40 patients with cervical spondylotic radiculopathy（CSR） treated with PCD in our hospital from June 2019 to January 2020 were selected as the subjects of research and divided into the observation group and the control group according to different nursing patterns with 20 patients in each group. The control group received traditional perioperative nursing， while the observation group received perioperative nursing with the application of rapid rehabilitation concept. The anal exhaust time， hospitalization time， hospitalization expense， satisfaction rate of patients with nursing and incidence rate of complications were observed in the two groups. Results The anal exhaust time of the observation group was（1.97±0.55） d， the hospitalization time was（5.21±1.68） d， and the hospitalization expense was（20198.56±738.94） yuan， while the anal exhaust time of the control group was（2.51±0.67） d， the hospitalization time was（7.69±2.41） d， and the hospitalization expense was（25340.99±755.48） yuan. The anal exhaust time and hospitalization time of the observation group were both shorter than those of the control group， and the hospitalization expense was less than that of the control group（t=3.715， 3.775， 21.762， P=0.041， 0.046， 0.008）; the satisfaction rate of patients with nursing in the observation group（100.00%） was higher than that in the control group（80.00%）（χ2=4.444， P=0.035）; the incidence rate of complications in the observation group（5.00%） was lower than that in the control group（30.00%）（χ2=4.329， P=0.037）. Conclusion The application of rapid rehabilitation concept in the perioperative period of PCD for CSR can shorten the patients anal exhaust time and hospitalization time， reduce the medical expenses and incidence of complications for them， and improve their satisfaction.

[Key words] Rapid rehabilitation concept; Cervical spondylotic radiculopathy（CSR）; Percutaneous cervical discectomy（PCD）; Perioperative period; Application effect

随着颈椎微创技术的发展与广泛应用，大部分神经根型颈椎病患者均接受经皮内镜下颈椎间盘切除术治疗，该微创手术具有创伤小、术后恢复快的特点[1]。虽然传统围术期护理效果较为明显，但已不能够满足患者更高医疗服务质量要求，这必然要引入新型护理理念。……