Advance Search
LI Ling, HUANG Rong, ZHOU Yumei. Value of enhanced recovery after surgery in patients undergoing minimally invasive transforaminal lumbar interbody fusion during perioperative period[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 42-45. DOI: 10.7619/jcmp.20212685
Citation: LI Ling, HUANG Rong, ZHOU Yumei. Value of enhanced recovery after surgery in patients undergoing minimally invasive transforaminal lumbar interbody fusion during perioperative period[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 42-45. DOI: 10.7619/jcmp.20212685
shu

Value of enhanced recovery after surgery in patients undergoing minimally invasive transforaminal lumbar interbody fusion during perioperative period

  • the Second Ward of Orthopedics Department, Wuhan Third Hospital of Hubei Province, Wuhan, Hubei, 430000

More Information
  • Received Date: July 01, 2021
  • Available Online: March 21, 2022
  • Published Date: February 27, 2022
    Graphical Abstract
    • Abstract
  •   Objective  To investigate the application value of enhanced recovery after surgery (ERAS) in patients with lumbar spinal stenosis under minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in perioperation.
      Methods  A total of 120 hospitalized patients with lumbar spinal stenosis who underwent MIS-TLI treatment in the spinal surgery department were selected, and were divided into observation group(n=60) and control group(n=60). The observation group underwent ERAS management and the control group underwent ordinary management. The use of analgesics during the perioperative period of the two groups (varieties of drugs and amount of drugs), the length of hospital stay, and intraoperative blood loss were recorded. Preoperative and postoperative pain scores, postoperative feeding time, postoperative ground time, postoperative length of hospital stay, postoperative recovery and satisfaction were compared.
      Results  The intraoperative blood loss of patients in the observation group was(66.02±32.04) mL, which was significantly less than (94.04±37.02) mL of the control group (P < 0.001). The length of hospitalization in the observation group was (2.42±1.13) d, which was shorter than (4.01±1.98) d in the control group (P < 0.001). The anxiety score and pain score of the observation group 1 day after surgery were (8.46±6.31) and (1.88±0.24), respectively, which were lower than those before surgery (P < 0.05). The perioperative dosage of opioids and postoperative pain score one day after surgery in the observation group were lower than those in the control group, and the postoperative ground time and postoperative eating time were earlier than those in the control group (P < 0.05). The activities of daily living (ADL) score and satisfaction of patients in the observation group were higher than those in the control group (P < 0.05).
      Conclusion  ERAS for patients with lumbar spinal stenosis undergoing minimally invasive transformational lumbar inter body fusion can reduce the patient's anxiety and pain scores, decrease the use of analgesics, further promote postoperative recovery, improve the rehabilitation effect and patients'satisfaction.
    • FullText(HTML)
    • References (14)
  • [1]
    PENNESTRÌF, MAFFULLI N, SIRTORI P, et al. Blood management in fast-track orthopedic surgery: an evidence-based narrative review[J]. J Orthop Surg Res, 2019, 14(1): 263. doi: 10.1186/s13018-019-1296-5
    [2]
    李小金, 曾丽雯, 王楚怀. 快速康复外科护理在重度脊柱侧凸行后路矫正术患者康复中的应用[J]. 中国康复医学杂志, 2018, 33(6): 706-709. doi: 10.3969/j.issn.1001-1242.2018.06.017
    [3]
    王中华. 微创经椎间孔腰椎椎体间融合术中融合器的应用进展[J]. 中国微创外科杂志, 2020, 20(7): 639-643. doi: 10.3969/j.issn.1009-6604.2020.07.016
    [4]
    马远, 程省, 郭雄飞, 等. 椎管狭窄症两种经椎间孔椎体间融合术比较[J]. 中国矫形外科杂志, 2020, 28(19): 1729-1733. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS202019002.htm
    [5]
    赵志刚, 刘晓光. 微创经椎间孔入路腰椎椎间融合术治疗腰椎退行性疾病的研究进展[J]. 中国脊柱脊髓杂志, 2019, 29(4): 371-375. doi: 10.3969/j.issn.1004-406X.2019.04.12
    [6]
    曾庆玲, 毕金秀. 护理干预对腰椎管狭窄症患者术后康复积极性及生活质量评价的作用[J]. 中国伤残医学, 2018, 26(15): 71-72. https://www.cnki.com.cn/Article/CJFDTOTAL-YIYA201614042.htm
    [7]
    范玲燕, 曾莉. 快速康复外科理念在骨科护理实践中的研究进展[J]. 护士进修杂志, 2018, 33(14): 1278-1281. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201814008.htm
    [8]
    朱颖, 安利杰, 侯婧悦. 快速康复外科研究进展[J]. 世界华人消化杂志, 2017, 25(34): 3038-3045. https://www.cnki.com.cn/Article/CJFDTOTAL-XXHB201734008.htm
    [9]
    郎建龙, 党春奇, 赵英. 快速康复外科理念应用于髋、膝关节置换术治疗中的进展研究[J]. 继续医学教育, 2018, 32(11): 166-168. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJY201811091.htm
    [10]
    冯楚楚, 任丽琪, 戚欣, 等. 加速康复外科护理对慢性鼻窦炎鼻内镜手术患者术后疼痛及康复效果的影响[J]. 护理实践与研究, 2021, 18(7): 1043-1046. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202107028.htm
    [11]
    檀梦媛, 乔晓斐, 高晨, 等. 多模式镇痛对经腹肝部分切除术患者术后恢复质量的影响[J]. 临床麻醉学杂志, 2021, 37(6): 612-616. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ202106012.htm
    [12]
    CHEEMA F N, ABRAHAM N S, BERGER D H, et al. Novel approaches to perioperative assessment and intervention may improve long-term outcomes after colorectal cancer resection in older adults[J]. Ann Surg, 2011, 253(5): 867-74. doi: 10.1097/SLA.0b013e318208faf0
    [13]
    罗琨, 袁凌, 丁巧俊. 快速康复外科护理模式在腰椎退行性疾病围手术期中的应用[J]. 安徽医药, 2018, 22(8): 1617-1620. doi: 10.3969/j.issn.1009-6469.2018.08.056
    [14]
    陈红梅, 丁宇, 朱旭, 等. 经皮椎间孔镜下椎间盘切除术治疗腰椎管狭窄症患者的围术期快速康复护理[J]. 解放军护理杂志, 2019, 36(2): 81-84. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201902026.htm
    • Related Articles

  • Related Articles

    [1]YAO Binbin, SHEN Yan, YANG Hongli, FENG Sujuan, HUANG Huaxing, ZHU Xueling, SHEN Lianglan. Impact of serum cystatin C and hypersensitivity C-reactive protein on the 3-year survival of patients undergoing maintenance hemodialysis[J]. Journal of Clinical Medicine in Practice, 2024, 28(18): 68-75, 80. DOI: 10.7619/jcmp.20240283
    [2]QIU Yuan, LI Li, ZENG Laixing. Changes of C reactive protein and serum procalcitoninin patients with severe acute pancreatitis[J]. Journal of Clinical Medicine in Practice, 2019, 23(12): 62-64. DOI: 10.7619/jcmp.201912018
    [3]MENG Xiangzhong, WEI Feng, WANG Na, SHI Zhenhua, DING Dongrui. Clinical analysis of plasma procalcitonin and C-reactive protein levels in 65 patients with septic shock[J]. Journal of Clinical Medicine in Practice, 2018, (3): 120-122. DOI: 10.7619/jcmp.201803035
    [4]LIU Li, LIU Mingxin, NIU Shihui, LU Zejun, WANG Nana, ZHANG Ling. Effect of irbesartan combined with atorvastatin on C reactive protein and cystatin C of patients with diabetic nephropathy[J]. Journal of Clinical Medicine in Practice, 2017, (21): 33-35. DOI: 10.7619/jcmp.201721009
    [5]ZHANG Shihui, ZHANG Yan, TANG Xi. Effects of hemodialysis combined with hemoperfusion on expression of β2-microglobulin and high-sensitivity C-reactive protein in patients with uremia[J]. Journal of Clinical Medicine in Practice, 2017, (5): 65-67. DOI: 10.7619/jcmp.201705018
    [6]LI Zhi. Changes and diagnostic value of serum procalcitonin and C-reactive protein in patients with severe infection in ICU[J]. Journal of Clinical Medicine in Practice, 2016, (5): 70-72. DOI: 10.7619/jcmp.201605021
    [7]LIU Chijia, CUI Yuntao, ZHANG Aimin. Change and significance of serum procalcitonin and C-reactive protein levels in cerebral hemorrhage patients complicated with infection[J]. Journal of Clinical Medicine in Practice, 2015, (13): 27-29. DOI: 10.7619/jcmp.201513008
    [8]XU Bin, FAN Zhigang, YANG Yun, XU Zongxian. Application of serum procalcitonin and C-reactive protein detections in the diagnosis of neonatal severe infectious disease[J]. Journal of Clinical Medicine in Practice, 2014, (24): 50-52. DOI: 10.7619/jcmp.201424015
    [9]YU Yanhua, LI Junrong, HOU Zhuoran. Influence of atorvastatin on serum visfatin,high-sensitivity C-reactive protein and nitric oxide in patients with acute cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2014, (23): 5-7. DOI: 10.7619/jcmp.201423002
    [10]ZHOU Lihua. Clinical significance of C-reactive protein and immunoglobulin in cerebrospinal fluid for children infected with meningitis[J]. Journal of Clinical Medicine in Practice, 2013, (16): 123-124,130. DOI: 10.7619/jcmp.201316048

  • Cited by

    Periodical cited type(2)

    1. 于琪力，葛雪，刘丽. 冠状动脉粥样硬化性心脏病患者心力衰竭危险因素分析. 新乡医学院学报. 2024(06): 560-565 .
    2. 孙宁，李飞. 心肌梗死患者血清miR-34a-5p和C1q/肿瘤坏死因子相关蛋白-9水平及其与心肌重构的相关性. 检验医学与临床. 2024(19): 2785-2789 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML
    Article views (196) PDF downloads (11) Cited by(2)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return