主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (9): 1302-1308.doi: 10.3969/j.issn.1672-1756.2021.09.007

• 论著 • 上一篇    下一篇

Dynesys动态稳定系统植入患者早期康复运动方案的构建及应用效果

杨飒 张俊娟 贾曼 王小刚 柴森 尹瑞敬 王语嫣 于文静   

  1. 河南省人民医院骨科,郑州大学人民医院,河南大学临床医学院,450003 郑州市
  • 出版日期:2021-09-15 发布日期:2021-09-15
  • 通讯作者: 张俊娟,本科,主任护师,硕士生导师,E-mail:1973zjj@163.com E-mail:E-mail:yangsa33@126.com
  • 作者简介:杨飒,硕士,主管护师,E-mail:yangsa33@126.com
  • 基金资助:
    河南省医学科技攻关计划省部共建项目(SBGJ2018065)

Construction and application of early rehabilitation exercise plan for patients implanted with Dynesys dynamic stabilization system

YANG Sa, ZHANG Junjuan, JIA Man, WANG Xiaogang, CHAI Sen, YIN Ruijing, WANG Yuyan, YU Wenjing   

  1. Department of Orthopedics, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, School of Clinical Medicine, Henan University, Zhengzhou, 450003, China
  • Online:2021-09-15 Published:2021-09-15
  • Contact: E-mail:1973zjj@163.com E-mail:E-mail:yangsa33@126.com

摘要: 目的:构建Dynesys动态稳定系统植入患者早期康复运动方案并评价应用效果。方法:基于哥本哈根大学医学院脊柱手术患者早期康复运动方案及相关文献,构建Dynesys动态稳定系统植入患者早期康复运动方案,选取河南省某三级甲等医院2017年1月至2019年11月收治的Dynesys动态稳定系统植入患者为研究对象,按照随机数字表法将患者分为观察组和对照组,观察组78例患者接受早期康复运动方案,对照组75例患者接受常规活动方案。结果:两组患者腰椎功能评分、疼痛评分、自理能力、术后首次下床时间、术后首次排便时间之间的差异均有统计学意义(P<0.05),引流管拔管时间无统计学意义(P>0.05)。结论:早期康复运动方案能够改善Dynesys动态稳定系统植入患者的腰椎功能、降低疼痛水平、提高自理能力、促进胃肠功能的恢复,从而提高患者生活质量。

关键词: Dynesys动态稳定系统;早期活动;加速康复外科;方案构建

Abstract: Objective: To formulate an early rehabilitation exercise plan for patients implanted with Dynesys dynamic stabilization system and evaluate its application effect. Methods: Based on the early rehabilitation exercise plan for spine patients at the University of Copenhagen School of Medicine and related literature, an early rehabilitation exercise plan for patients implanted with Dynesys dynamic stabilization system was constructed. Patients who received Dynesys dynamic stabilization system implanted from January 2017 to November 2019 in a tertiary grade A hospital in Henan province were divided into observation group and control group by random number table. Observation group (78 patients) received early rehabilitation exercise plan, and control group (75 patients) implemented routine exercise plan. Results: The differences in lumbar function JOA score, pain score, self-care ability, time to get out of bed for the first time after surgery, and first defecation time after surgery were statistically significant (P<0.05). There was no statistically significant difference in drainage tube extubation time between two groups (P>0.05). Conclusion: Early rehabilitation exercise plan can improve the lumbar function of patients implanted with Dynesys dynamic stabilization system, reduce pain levels, improve self-care ability, and promote the recovery of gastrointestinal function, thereby improving the quality of life of patients.

Key words: Dynesys dynamic stabilization system; early mobilization; enhanced recovery after surgery; scheme construction

中图分类号: 

  • R47