叶瑶

[摘要] 目的 对微创手术的腰间盘突出症患者采用综合护理干预的临床效果进行探讨。 方法 以2017年6月至2020年7月我院接受微创手术的腰间盘突出症患者80例为对象，按照随机数字表法分为采用常规护理的对照组和采用综合护理的观察组，每组各40例，将两组的并发症发生率、术后康复情况和VAS评分进行比较。 结果 观察组干预后的康复率为92.50%，高于对照组的80.00%（P<0.05）;观察组干预后的VAS评分为（2.31±0.24）分，低于对照组的（3.32±0.31）分（P<0.05）;观察组护理后总满意度为100.00%，高于对照组的75.00%（P<0.05）。 结论 对于接受微创手术治疗的腰椎间盘突出症患者，采用综合护理干预能够显著改善患者的治疗效果，降低术后疼痛评分，提升护理满意度，具有临床参考价值。

[关键词] 综合护理;微创手术;腰间盘突出症;VAS评分

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2021）32-0169-04

[Abstract] Objective To explore the clinical effect of comprehensive nursing in patients with lumbar disc herniation having received minimally invasive surgery. Methods Eighty patients with lumbar disc herniation who underwent minimally invasive surgery in our hospital from June 2017 to July 2020 were divided into the control group and the observation group using the random number method， with 40 patients in each group. The control group were given routine nursing and the observation group were given comprehensive nursing. The complication rates， postoperative recovery and VAS scores were compared between the two groups. Results The recovery rate of the observation group after intervention （92.50%） was higher than that of the control group （80.00%） （P<0.05）. The VAS score of the observation group after intervention （2.31±0.24）points was lower than that of the control group （3.32±0.31）points after intervention （P<0.05）. The total satisfaction of the observation group after intervention was 100.00%， which was higher than that of the control group as 75.00% （P<0.05）. Conclusion Comprehensive nursing can significantly improve the treatment effect， reduce postoperative pain scores， and improve nursing satisfaction in patients with lumbar disc herniation having received minimally invasive surgery. It has clinical reference value.

[Key words] Comprehensive nursing; Minimally invasive surgery; Lumbar disc herniation; VAS score

腰椎间盘突出症作为临床常见的腰椎疾病之一，发病率较高。相关数据发现，全国有15%的人患有腰椎间盘突出症[1-2]。腰椎间盘突出症的症状以腰部和腿部的放射性疼痛为主，多数患者还伴随麻木，久站或久坐之后疼痛更加明显。近年来，随着醫学的不断发展和技术的不断成熟，对腰椎间盘突出症患者采用微创手术进行治疗获得了较好的效果，如经皮椎间孔镜下椎间盘摘除术等[3]。虽然微创手术和传统的开放性手术相比较，在术中出血量、术后康复时间、术后疼痛等方面取得了优势，但是围术期护理工作依然非常重要，多数患者经过有效的、科学的护理干预之后，症状会大大改善，提升治疗和预后效果，因此围术期护理在腰椎间盘患者的治疗中发挥着尤为关键的作用。……