Evaluation of the effectiveness of a nursing model based on the concept of rapid recovery surgery in patients undergoing minimally invasive internal fixation for thoracolumbar burst fractures
胸腰椎爆裂骨折微创内固定术后患者中快速康复外科理念的护理模式的效果评估

摘要

目的 研究经微创内固定术治疗的胸腰椎爆裂骨折患者采用快速康复外科护理模式的效果。方法 选择我院64例2024年7月-2025年8月行微创内固定术治疗的胸腰椎爆裂骨折患者作为观察对象，随机性分组，实施快速康复外科护理模式的患者（n=32）选入A组，实施基础护理模式的患者（n=32）选入Q组，观察并比较A组与Q组患者的机体情况、腰椎功能、自理能力、术后疼痛。结果 预前，Q组与A组机体情况、腰椎功能、自理能力、术后疼痛几乎无异（P>0.05）；预后，A组机体情况、腰椎功能、自理能力、术后疼痛优于Q组，差异有统计学意义（P<0.05）。结论 经微创内固定术治疗的胸腰椎爆裂骨折患者采用快速康复外科护理模式的效果更理想，值得推广。

Abstract

Objective To investigate the effect of rapid rehabilitation surgical nursing mode on patients with thoracolumbar burst fractures treated with minimally invasive internal fixation surgery.
Methods Sixty-four patients with thoracolumbar burst fractures who underwent minimally invasive internal fixation in our hospital between July 2024 and August 2025 were selected as the study subjects. They were randomly divided into two groups. Patients who received rapid rehabilitation surgical nursing mode (n=32) were selected as Group A, and patients who received basic nursing mode (n=32) were selected as Group Q. The physical condition, lumbar spine function, self-care ability, and postoperative pain of patients in Group A and Group Q were observed and compared.
Results Prior to this, the physical condition, lumbar spine function, self-care ability, and postoperative pain of group Q and group A were almost no different (P>0.05); The prognosis showed that Group A had better physical condition, lumbar spine function, self-care ability, and postoperative pain than Group Q, with statistically significant differences (P<0.05).
Conclusion   The rapid recovery surgical nursing model is more effective for patients with thoracolumbar burst fractures treated with minimally invasive internal fixation surgery and is worth promoting.