Effect of Early Airway Management on Postoperative Rehabilitation of Patients Undergoing Cervical Spine Surgery
Department of Orthopedics, Zhejiang Hospital, No.1229 Gudun Road, Hangzhou, Zhejiang 310012, China
Man Shu, Department of Orthopedics, Zhejiang Hospital, No.1229 Gudun Road, Hangzhou, Zhejiang 310012, China, E-mail: email@example.com
To explore the application of early airway management in accelerated rehabilitation of patients undergoing cervical spine surgery. A total of 76 anterior cervical spine surgery patients admitted to our hospital from May 2018 to June 2019 were selected and the patients were divided into a routine group and an intervention group with 38 cases each according to the random number table method. The conventional group received traditional nursing intervention during the perioperative period and the intervention group received early aerosolization based on traditional nursing during the perioperative period to strengthen airway management. The airway resistance and peak airway pressure of the two groups after intervention were compared and analyzed, work of breathing and other respiratory mechanics indicators, interleukin-8, C-reactive protein, procalcitonin levels and other respiratory tract infection related indicators, treatment satisfaction, complicates the situation and its infection rate and recovery progress. Before treatment, there was no significant difference between the two groups of airway resistance, peak airway pressure, work of breathing and serum interleukin-8, C-reactive protein, procalcitonin indicators; after treatment, the two groups of airway resistance, peak airway pressure, work of breathing indicators and serum interleukin-8, C-reactive protein, procalcitonin indicators were significantly lower than before treatment and the observation group was lower than the control group, the difference was statistically significant (p<0.05); the postoperative complication rate of patients in the intervention group was significantly lower than that of the conventional group and the difference was statistically significant (p<0.05) The observation group time to get out of bed and hospital stay were significantly shorter than those of the control group and their average hospitalization expenses were significantly lower than those of the control group. The difference was statistically significant (p<0.05); the total satisfaction rate of 94.7 % was significantly higher than the 78.9 % of the routine group and the difference was statistically significant (p<0.05). Carrying out early airway management after cervical spine surgery can effectively promote the recovery of patients, with fewer clinical complications, high nursing satisfaction, reducing the patient’s family economic pressure and improving the prognostic quality of life, so it is worthy of clinical application.