Damei Wu; Jiaxing Wan; Guowei Tang
Volume 26, Issue 1 , 2024
Abstract
Background: Lumbar spine fracture is one of the most common spinal fractures. Following lumbar vertebra surgery, prolonged bed rest is required, leading to increased negative emotions and various complications that hinder recovery. Therefore, it is necessary to develop effective interventions during ...
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Background: Lumbar spine fracture is one of the most common spinal fractures. Following lumbar vertebra surgery, prolonged bed rest is required, leading to increased negative emotions and various complications that hinder recovery. Therefore, it is necessary to develop effective interventions during the operation.
Objective: To assess the application effect of rapid rehabilitation intervention in posterior lumbar laminectomy decompression, resection of nucleus pulposus, and pedicle nail internal fixation for patients with lumbar fracture.
Methods: We randomly assigned 134 patients with lumbar fractures who received treatment in our hospital from May 2019 to September 2022 to either the research group (RG) or the control group (CG), with 67 patients in each group. In addition to the basic intervention, the RG received rapid rehabilitation intervention, while the CG only got the basic intervention. The study compared intraoperative blood loss, operation and hospitalization periods; the scores of the visual analog score (VAS), Japanese orthopaedic association (JOA), and Oswestry Disability Index (ODI); the incidence of complications; and satisfaction with the intervention in both groups.
Results: The RG had less blood loss and shorter surgery and hospital stay than the CG (P<0.05). The RG exhibited lower VAS and ODI scores but higher JOA scores than the CG (P<0.05). The occurrence of postoperative complications in the RG was decreased in comparison to the CG (P<0.05). The total intervention satisfaction was higher in the RG than in the CG (P<0.05).
Conclusion: Rapid rehabilitation intervention can accelerate the recovery of the condition, improve the dysfunction, reduce the occurrence of complications in patients with lumbar fracture surgery, and thereby boost intervention satisfaction, which is worthy for clinical promotion.
Jing He; Da Ma; Huijuan Jiang; Huijuan Tang; Qian Mi; Renli Cheng
Volume 26, Issue 1 , 2024
Abstract
Background: Laparoscopic cholecystectomy is widely used in clinical treatment for gallbladder diseases. Rapid rehabilitation surgical nursing can significantly reduce the incidence of postoperative complications and shorten the hospital stay of patients. Moreover, it is supported by evidence-based ...
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Background: Laparoscopic cholecystectomy is widely used in clinical treatment for gallbladder diseases. Rapid rehabilitation surgical nursing can significantly reduce the incidence of postoperative complications and shorten the hospital stay of patients. Moreover, it is supported by evidence-based medicine and has been widely used in clinical nursing. Nonetheless, there are few studies analyzing the influence of rapid rehabilitation surgical nursing on patients undergoing laparoscopic cholecystectomy.
Objective: This study aimed to assess the clinical use of rapid rehabilitation surgical nursing on laparoscopic cholecystectomy patients.
Methods: This study was performed on patients who underwent laparoscopic cholecystectomy in Suzhou Hospital of Anhui Medical University, Suzhou, China between June 2021 and July 2022. The participants were divided into a research group (RG) and a control group (CG) based on different nursing plans, with 51 cases in each group. A routine nursing plan was implemented for CG patients while rapid rehabilitation surgical nursing was implemented for RG patients.
Results: The bowel sound recovery time, the first time of anal exhaust and getting out of bed, as well as the length of hospital stay in the RG decreased, in contrast to the CG. Prior to nursing, no significance was found in visual analog scale (VAS) scores, interleukin 6 (IL-6) and C-reactive protein (CRP) levels, as well as World Health Organization Quality of Life Scale (WHOQOL-BREF) scores of both groups. After nursing, VAS scores decreased in both groups, and the scores of RG were lower, compared to those of CG. The IL-6 and CRP levels increased in both groups, but those in the RG were lower, in comparison with those in the CG. The WHOQOL-BREF scores of all dimensions increased in both groups, compared to the baseline, and those in the RG were higher, relative to the CG. Additionally, the total occurrence of complications in the RG decreased, compared to the CG. Besides, the total nursing satisfaction in the RG was elevated, relative to the CG (P<0.05).
Conclusion: Application of rapid rehabilitation surgical nursing can expedite postoperative rehabilitation, reduce pain and stress response, promote quality of life, and lessen complications in patients undergoing laparoscopic cholecystectomy, thereby, increasing nursing satisfaction, which is worthy of promotion.
Du Jia-Shang; Li Zhong-Ming; Zong Chen-yu; Lin jun-fei
Volume 25, Issue 9 , 2023
Abstract
Background: The importance of lateral transforaminal endoscopic treatment of thoracic disc herniation lies in the fact that the use of a needle can remove some of the disc contents and cause the disc herniation to disappear. The present study aimed to evaluate the effect of percutaneous endoscopy on ...
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Background: The importance of lateral transforaminal endoscopic treatment of thoracic disc herniation lies in the fact that the use of a needle can remove some of the disc contents and cause the disc herniation to disappear. The present study aimed to evaluate the effect of percutaneous endoscopy on the treatment of patients with thoracic disc herniation.Objectives: To investigate the clinical efficacy and feasibility of transforaminal endoscopic discectomy in the treatment of thoracic disc herniationMethods: This retrospective analysis was conducted on patients with thoracic hernias between January 2014 and December 2019. A total of 13 operative cases were selected via census sampling. Lateral endoscopic treatment of thoracic disc herniation was performed on patients, and they were followed up for 6-18 months. All patients were assessed by the visual analog scale Visual Analogue Score (VAS) and Oswestry Disability Index (ODI) before the surgery, as well as one week, three months, and six months after the operation, respectively.Results: The sample included 13 patients with a mean age of 60.3 years. The location of the thoracic disc herniation varied among the patients. The VAS scores before the surgery, as well as one week, three months, and six months after the surgery, were 7±0.8, 3.3±0.6, 2.3±0.8, 1.4±0.3, and 1.3±0.4, respectively, pointing to a significant decrease (P?0.001). The ODI scores before the surgery, one day after surgery, one week after surgery, three months after surgery, and six months after surgery were 65.2±5.8%, 11.5±5.3%, 8.9±3.3%, 5.3±2.5, and 4.7±3.5, demonstrating a significant decrease (P?0.001). The score of the Macnab standard, a rating system evaluating the effectiveness of spine surgeries, was also satisfactory.Conclusion: As evidenced by the results of this study, percutaneous endoscopy in the treatment of patients with thoracic disc herniation was able to improve the clinical condition of patients and replace the previous methods of thoracic hernia surgery as an effective, efficient, and safe method.
Lin Lin; Feipeng Xu; Caijin Zhou; Zhenhao Quan; Haiping Jiang
Volume 23, Issue 12 , 2021
Abstract
Background: MiRNAs play an important role in the development of colorectal cancer (CRC); however, there is little evidence of miRNAs in the screening of the nutritional risks of patients with CRC.
Objectives: This study aimed to explore the role of preoperative miR-149 in nutritional screening of patients ...
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Background: MiRNAs play an important role in the development of colorectal cancer (CRC); however, there is little evidence of miRNAs in the screening of the nutritional risks of patients with CRC.
Objectives: This study aimed to explore the role of preoperative miR-149 in nutritional screening of patients with CRC, and its associations with clinicopathological characteristics and postoperative complications of patients with CRC.
Methods: The associations of serum miR-149 with clinicopathological characteristics and postoperative complications of patients were analyzed in this study. The receiver operating characteristic curves were plotted with miR-149 as the test variable, the grouping results of the patients with nutritional risks (total NRS2002 score ?3 points), and no nutritional risks (total NRS2002 score <3 points) based on the preoperative NRS2002 score as the state variables. The consistency of miR-149 and NRS2002 in the nutritional screening of CRC was analyzed using the Kappa test.
Results: MiR-149 was low in patients with CRC. There was a statistically significant difference in the miR-149 expression among patients with different tumor diameters and TNM stages in the two groups. The preoperative total NRS2002 score of CRC patients was <3 (without nutritional risks) in 271 cases, and ?3 (with nutritional risks) in 129 cases. The sensitivity and specificity of miR-149 in the diagnosis of nutritional risks were 76.74% and 84.50%, respectively. The Kappa value was 0.622 with miR-149=3.095 as the critical value.
Conclusion: MiR-149 can reflect the preoperative nutritional status of patients with CRC, and miR-149=3.095 can be used as the cut-off point for nutritional risk screening of patients with CRC, which is an important index for assessing the nutritional risk in the preoperative period. The expression of miR-149 has a certain association with postoperative complications.
