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目的:提高腰椎间盘突出症患者手术治疗的效果,降低复发率,提高患者的生活质量。方法:选取海南州共和县中医院2012年1月—2015年6月收治的腰椎间盘突出症患者92例,按双盲法将其分为对照组与观察组,对照组46例在术后给予常规护理干预,观察组46例在术后采用康复护理干预,通过电话随访完成健康状况调查问卷SF-36,比较两组患者治疗后的临床疗效。结果:随访6个月后,观察组治疗有效率为91.3%,对照组为80.4%,两组疗效比较差异无统计学意义(P>0.05)。观察组患者满意率高于对照组;复发率低于对照组,差异均有统计学意义(P<0.01)。观察组SF-36的评分为(95.24±4.32)分,对照组SF-36的评分为(83.28±3.45)分,观察组明显高于对照组,说明观察组生活质量改善较对照组明显(P<0.05)。结论:康复护理能够提高腰椎间盘突出症术后患者的护理满意率,降低复发率,改善生活质量,具有较好的临床价值。
Objective: To improve the surgical treatment of patients with lumbar disc herniation, reduce the recurrence rate and improve the quality of life of patients. Methods: A total of 92 patients with lumbar disc herniation admitted from June 2012 to June 2015 in Gonghe County Chinese Medicine Hospital of Hainan Province were divided into control group and observation group by double-blind method. 46 patients in control group were given postoperative Routine nursing interventions were performed in 46 patients in the observation group. Rehabilitation nursing intervention was used after the operation. The health status questionnaire SF-36 was followed up by telephone. The clinical efficacy of the two groups was compared. Results: After 6 months of follow-up, the effective rate of the observation group was 91.3% and that of the control group was 80.4%. There was no significant difference between the two groups (P> 0.05). The satisfaction rate of the observation group was higher than that of the control group; the recurrence rate was lower than that of the control group, the difference was statistically significant (P <0.01). The score of SF-36 in the observation group was (95.24 ± 4.32) points, while the score of SF-36 in the control group was (83.28 ± 3.45) points. The observation group was significantly higher than the control group, indicating that the improvement of the quality of life in the observation group was significantly (P <0.05). Conclusion: Rehabilitation nursing can improve the nursing satisfaction rate, reduce the relapse rate and improve the quality of life of postoperative patients with lumbar disc herniation, and has good clinical value.