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目的探讨腰椎管狭窄症手术患者运用本科自行编制的康复卧位操结合协议护理进行康复训练,观察其促进功能康复的作用。方法选择2014年01月~2017年01月在脊柱关节外科住院行腰椎管狭窄症手术的患者80例,按病房的单、双号分为实验组和对照组各41例和39例,对照组按照传统康复训练指导,实验组采用本科自行设计的康复卧位操(康复卧位操的设计是以康复训练的执行时间、动作要领,执行频率为康复教程,通过患者平卧、侧卧、俯卧、坐位、站立位设计动作真人拍摄制作的,具体方法分为18节)进行康复指导,同时结合协议护理方法,与病人约定每日坚持训练的时间(每日上午10~11点,下午4~5点,晚上7~8点)内容、量和度,并约定延续到出院后3~6月协议随访。对患者康复知识、康复技能掌握率、术后改善率及两组并发症发生率,腰腿痛残留率进行统计学分析。结果患者康复知识、康复技能掌握率、术后改善率实验组明显优于对照组(P<0.05),两组患者术后并发症发生率、腰腿痛残留率实验组均低于对照组(P<0.05)。结论本科设计的康复卧位操,对患者坚持康复训练及促进患者功能康复具有较好的临床应用价值,同时可有效的降低术后并发症发生率,减少腰腿痛的残留。
Objective To investigate the rehabilitation training of lumbar spinal stenosis patients under the condition of self-made rehabilitation supine position combined with protocol nursing and to observe its function of promoting functional rehabilitation. Methods From January 2014 to January 2017, 80 patients with lumbar spinal stenosis were admitted to the Department of Spinal and Joint Surgery from January 2014 to January 2017. According to the single and double numbers of the ward, there were 41 cases in each group and 39 cases in the control group. The control group According to the guidance of traditional rehabilitation training, the experimental group used undergraduate self-designed rehabilitation supine position exercise (rehabilitation supine position exercise is based on rehabilitation training execution time, action essentials, the implementation of the frequency of rehabilitation tutorial, through the patient supine, lateral, prone , Sitting, standing position design action shooting live, the specific method is divided into 18 sections) for rehabilitation guidance, combined with protocol nursing methods, agreed with the patient daily training time (daily morning 10 ~ 11, afternoon 4 ~ 5:00, 7:00 to 8:00) content, volume and degree, and agreed to extend to 3 to 6 months after discharge agreement follow-up. Patient rehabilitation knowledge, rehabilitation skills to grasp the rate of improvement and postoperative complications, the incidence of complications, low back pain residual rate for statistical analysis. Results The patients’ knowledge of rehabilitation, the rate of recovery and the rate of postoperative improvement were significantly better in the experimental group than those in the control group (P <0.05). The incidence of postoperative complications and the residual rate of low back pain in both groups were significantly lower than those in the control group P <0.05). Conclusions Undergraduate designed rehabilitation supine position exercises have good clinical value in patients’ adherence to rehabilitation training and functional rehabilitation. At the same time, it can effectively reduce the incidence of postoperative complications and reduce the residual of low back pain.