The West China Hospital program of early ambulation of patients after anterior cervical spine surgery based on the concept of enhanced recovery after surgery_West China Medical Journal

Authors：

WANG Yalei ¹ , CHEN Jiali ¹ ,  NING Ning ¹ , WANG Beiyu ² ,  LIU Hao ² , YUAN Xiurong ¹ , LI Peifang ¹ , LI Ye ¹

1. West China School of Nursing, Sichuan University / Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com; LIU Hao, Email: liuhao6304@163.com

Keywords：

Anterior cervical spine surgery; Early ambulation; Enhanced recovery after surgery; West China Hospital program

DOI：

10.7507/1002-0179.202103051

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With the continuous deepening of the practice related to the concept of enhanced recovery after surgery, patients with cervical spondylosis have higher expectations and requirements for postoperative rehabilitation. In order to improve the rehabilitation of patients with cervical spondylosis, and increase patient satisfaction, the orthopedics team of West China Hospital of Sichuan University has formulated a program for early ambulation after anterior cervical spine surgery based on the concept of enhanced recovery after surgery. This article introduces the program from the definition, background, feasibility, significance, and specific content of early ambulation for patients undergoing anterior cervical spine surgery, and aims to provide experience and reference for future clinical practice.

Citation： WANG Yalei, CHEN Jiali, NING Ning, WANG Beiyu, LIU Hao, YUAN Xiurong, LI Peifang, LI Ye. The West China Hospital program of early ambulation of patients after anterior cervical spine surgery based on the concept of enhanced recovery after surgery. West China Medical Journal, 2021, 36(10): 1419-1423. doi: 10.7507/1002-0179.202103051 Copy

1.	陈明, 韩涛, 朱立国, 等. 颈椎病的防治研究刍议. 海南医学院学报, 2020, 26(4): 311-315,320.
2.	Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
3.	景少泽, 马迅, 周鑫, 等. 颈椎前路手术并发症研究进展. 中华老年多器官疾病杂志, 2018, 17(6): 477-480.
4.	Zhu S, Qian W, Jiang C, et al. Enhanced recovery after surgery for hip and knee arthroplasty: a systematic review and meta-analysis. Postgrad Med J, 2017, 93(1106): 736-742.
5.	Ries E. Some radical changes in the after treatment of celiotomy cases. JAMA, 1899, 32(8): 454-456.
6.	丁琛, 洪瑛, 王贝宇, 等. 颈椎前路手术加速康复外科实施流程专家共识. 中华骨与关节外科杂志, 2019, 12(7): 486-497.
7.	周非非, 孙宇, 张凤山, 等. 颈椎前路椎间盘切除、植骨融合内固定术治疗脊髓型颈椎病术后轴性症状的前瞻性研究. 中国脊柱脊髓杂志, 2014, 24(6): 505-509.
8.	周鑫, 马向阳, 杨进城, 等. 颈椎前路术后早期急性并发症的原因及治疗. 中国矫形外科杂志, 2015, 23(23): 2198-2201.
9.	余彬, 彭银虓, 薛力, 等. 零切迹椎间融合固定器与传统颈前路钢板Cage融合内固定治疗双节段颈椎病的比较. 中国组织工程研究, 2020, 24(9): 1342-1347.
10.	王瑞, 梁伯冉, 李宏, 等. 颈椎前路单节段cage与zero-P辅助减压融合术治疗颈椎退变性疾病的疗效比较. 中华骨与关节外科杂志, 2019, 12(11): 848-853.
11.	杨霞, 李国宏, 张甜甜. 髋、膝关节置换术后早期下床活动研究进展. 齐鲁护理杂志, 2017, 23(24): 58-61.
12.	杨玉洁, 毛阿燕, 乔琛, 等. 精准医疗的概念内涵及其服务应用. 中国医院管理, 2020(1): 5-8.
13.	陈佳丽, 宁宁, 李佩芳, 等. 协同创新在加速康复外科围手术期管理中的应用进展. 华西医学, 2017, 32(9): 1317-1319.
14.	张桐, 王凯, 徐成阳, 等. 气管推移训练联合超短波治疗对颈椎前路术后患者早期局部软组织肿胀的影响. 中华物理医学与康复杂志, 2021, 43(2): 155-157.
15.	王轶. 桂枝加葛根汤结合“米字操”治疗颈型颈椎病60例. 中医外治杂志, 2017, 26(3): 10-11.
16.	Losina E, Thornhill TS, Rome BN, et al. The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic. J Bone Joint Surg Am, 2012, 94(3): 201-207.
17.	陈树军, 解妍琪, 王巧英, 等. 快速康复外科理念在颈椎间盘置换患者围手术期中的应用. 中国继续医学教育, 2021, 13(9): 171-175.
18.	张子凤, 彭玉慧, 孙洁, 等. 颈椎病患者围手术期快速康复模式的探讨. 江苏医药, 2015, 41(13): 1604-1606.
19.	邓欣, 宁宁, 陈佳丽, 等. 加速康复外科术后结局评价指标研究进展. 华西医学, 2017, 32(9): 1362-1365.
20.	严广斌. 视觉模拟评分法. 中华关节外科杂志(电子版), 2014(2): 273.
21.	Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther, 1991, 14(7): 409-415.
22.	Lee S, Lee YH, Chung TS, et al. Accuracy of diffusion tensor imaging for diagnosing cervical spondylotic myelopathy in patients showing spinal cord compression. Korean J Radiol, 2015, 16(6): 1303-1312.
23.	Spielberger CD, Reheiser EC. Measuring anxiety, anger, depression, and curiosity as emotional states and personality traits with the STAⅠ, ATAⅪ, and STPⅠ. New Jersey: John Wiley & Sons Inc, 2003: 70-85.
24.	Hicks RA, Fernandez C, Pellegrini RJ. Striking changes in the sleep satisfaction of university students over the last two decades. Percept Mot Skills, 2001, 93(3): 660.
25.	李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36(2): 109-113.
26.	中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018版). 中国实用外科杂志, 2018, 38(1): 1-20.

1. 陈明, 韩涛, 朱立国, 等. 颈椎病的防治研究刍议. 海南医学院学报, 2020, 26(4): 311-315,320.
2. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
3. 景少泽, 马迅, 周鑫, 等. 颈椎前路手术并发症研究进展. 中华老年多器官疾病杂志, 2018, 17(6): 477-480.
4. Zhu S, Qian W, Jiang C, et al. Enhanced recovery after surgery for hip and knee arthroplasty: a systematic review and meta-analysis. Postgrad Med J, 2017, 93(1106): 736-742.
5. Ries E. Some radical changes in the after treatment of celiotomy cases. JAMA, 1899, 32(8): 454-456.
6. 丁琛, 洪瑛, 王贝宇, 等. 颈椎前路手术加速康复外科实施流程专家共识. 中华骨与关节外科杂志, 2019, 12(7): 486-497.
7. 周非非, 孙宇, 张凤山, 等. 颈椎前路椎间盘切除、植骨融合内固定术治疗脊髓型颈椎病术后轴性症状的前瞻性研究. 中国脊柱脊髓杂志, 2014, 24(6): 505-509.
8. 周鑫, 马向阳, 杨进城, 等. 颈椎前路术后早期急性并发症的原因及治疗. 中国矫形外科杂志, 2015, 23(23): 2198-2201.
9. 余彬, 彭银虓, 薛力, 等. 零切迹椎间融合固定器与传统颈前路钢板Cage融合内固定治疗双节段颈椎病的比较. 中国组织工程研究, 2020, 24(9): 1342-1347.
10. 王瑞, 梁伯冉, 李宏, 等. 颈椎前路单节段cage与zero-P辅助减压融合术治疗颈椎退变性疾病的疗效比较. 中华骨与关节外科杂志, 2019, 12(11): 848-853.
11. 杨霞, 李国宏, 张甜甜. 髋、膝关节置换术后早期下床活动研究进展. 齐鲁护理杂志, 2017, 23(24): 58-61.
12. 杨玉洁, 毛阿燕, 乔琛, 等. 精准医疗的概念内涵及其服务应用. 中国医院管理, 2020(1): 5-8.
13. 陈佳丽, 宁宁, 李佩芳, 等. 协同创新在加速康复外科围手术期管理中的应用进展. 华西医学, 2017, 32(9): 1317-1319.
14. 张桐, 王凯, 徐成阳, 等. 气管推移训练联合超短波治疗对颈椎前路术后患者早期局部软组织肿胀的影响. 中华物理医学与康复杂志, 2021, 43(2): 155-157.
15. 王轶. 桂枝加葛根汤结合“米字操”治疗颈型颈椎病60例. 中医外治杂志, 2017, 26(3): 10-11.
16. Losina E, Thornhill TS, Rome BN, et al. The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic. J Bone Joint Surg Am, 2012, 94(3): 201-207.
17. 陈树军, 解妍琪, 王巧英, 等. 快速康复外科理念在颈椎间盘置换患者围手术期中的应用. 中国继续医学教育, 2021, 13(9): 171-175.
18. 张子凤, 彭玉慧, 孙洁, 等. 颈椎病患者围手术期快速康复模式的探讨. 江苏医药, 2015, 41(13): 1604-1606.
19. 邓欣, 宁宁, 陈佳丽, 等. 加速康复外科术后结局评价指标研究进展. 华西医学, 2017, 32(9): 1362-1365.
20. 严广斌. 视觉模拟评分法. 中华关节外科杂志(电子版), 2014(2): 273.
21. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther, 1991, 14(7): 409-415.
22. Lee S, Lee YH, Chung TS, et al. Accuracy of diffusion tensor imaging for diagnosing cervical spondylotic myelopathy in patients showing spinal cord compression. Korean J Radiol, 2015, 16(6): 1303-1312.
23. Spielberger CD, Reheiser EC. Measuring anxiety, anger, depression, and curiosity as emotional states and personality traits with the STAⅠ, ATAⅪ, and STPⅠ. New Jersey: John Wiley & Sons Inc, 2003: 70-85.
24. Hicks RA, Fernandez C, Pellegrini RJ. Striking changes in the sleep satisfaction of university students over the last two decades. Percept Mot Skills, 2001, 93(3): 660.
25. 李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36(2): 109-113.
26. 中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018版). 中国实用外科杂志, 2018, 38(1): 1-20.

West China Medical Journal

The West China Hospital program of early ambulation of patients after anterior cervical spine surgery based on the concept of enhanced recovery after surgery

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