Tianjin University of Traditional Chinese Medicine, No.10 Poyang Lake Road, Tianjin, 301617, People's Republic of China.
Department of Orthopedic, Chuzhou Chinese and Western Medicine Hospital, No.788 Huifeng East Road, Chuzhou, 239000, Anhui, People's Republic of China.
J Orthop Surg Res. 2024 Sep 6;19(1):547. doi: 10.1186/s13018-024-05043-w.
Evaluation of the impact of patients' participation on postoperative recovery and satisfaction who underwent the Percutaneous Endoscopic Interlaminar Discectomy(PEID).
We collected data from sixty-nine patients who underwent PEID surgery at Chuzhou Chinese and Western Medicine Hospital between January 2020 and December 2022. All patients had L5/S1 lumbar disc herniation and met the inclusion and exclusion criteria. The patients were divided into two groups: non-communication group (n = 33) and communication group (n = 36). The division was made based on whether the patients had preoperative surgical video viewing and intraoperative communication. We compared the baseline data, surgical time, VAS score, lumbar JOA score, surgical complications, and patient satisfaction between the two groups.
The communication group showed better pain control and functional recovery in the early postoperative period. The communication group had better VAS scores on the first day and month after surgery, as well as JOA scores on the first week and month after surgery, with statistically significant differences (P < 0.05). There was no significant difference in hospital stay, VAS score, JOA score, and postoperative complications between the two groups of patients at 3 and 6 months after surgery. The communication group had higher patient satisfaction (P < 0.05).
Preoperative surgical video viewing and intraoperative communication by PEID patients can alleviate pain, accelerate functional recovery, improve symptoms, and increase patients' satisfaction. We need to do more work to develop this new model.
评估患者参与经皮内窥镜下腰椎间融合术（PEID）对术后恢复和满意度的影响。
我们收集了 2020 年 1 月至 2022 年 12 月在滁州市中西医结合医院接受 PEID 手术的 69 例患者的数据。所有患者均有 L5/S1 腰椎间盘突出症，符合纳入和排除标准。患者分为非沟通组（n=33）和沟通组（n=36）。分组依据是患者是否术前观看手术视频和术中沟通。我们比较了两组患者的基线资料、手术时间、视觉模拟评分（VAS）、腰椎 JOA 评分、手术并发症和患者满意度。
沟通组在术后早期疼痛控制和功能恢复方面表现更好。沟通组术后第 1 天和第 1 个月的 VAS 评分以及术后第 1 周和第 1 个月的 JOA 评分均较好，差异有统计学意义（P<0.05）。两组患者术后 3 个月和 6 个月的住院时间、VAS 评分、JOA 评分和术后并发症无明显差异。沟通组患者满意度较高（P<0.05）。
PEID 患者术前观看手术视频和术中沟通可以减轻疼痛，加速功能恢复，改善症状，提高患者满意度。我们需要进一步开展工作来完善这种新模式。
