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

Video：

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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.	陳明, 韓濤, 朱立國, 等. 頸椎病的防治研究芻議. 海南醫學院學報, 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.	景少澤, 馬迅, 周鑫, 等. 頸椎前路手術并發癥研究進展. 中華老年多器官疾病雜志, 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, 王貝宇, 等. 頸椎前路手術加速康復外科實施流程專家共識. 中華骨與關節外科雜志, 2019, 12(7): 486-497.
7.	周非非, 孫宇, 張鳳山, 等. 頸椎前路椎間盤切除、植骨融合內固定術治療脊髓型頸椎病術后軸性癥狀的前瞻性研究. 中國脊柱脊髓雜志, 2014, 24(6): 505-509.
8.	周鑫, 馬向陽, 楊進城, 等. 頸椎前路術后早期急性并發癥的原因及治療. 中國矯形外科雜志, 2015, 23(23): 2198-2201.
9.	余彬, 彭銀虓, 薛力, 等. 零切跡椎間融合固定器與傳統頸前路鋼板Cage融合內固定治療雙節段頸椎病的比較. 中國組織工程研究, 2020, 24(9): 1342-1347.
10.	王瑞, 梁伯冉, 李宏, 等. 頸椎前路單節段cage與zero-P輔助減壓融合術治療頸椎退變性疾病的療效比較. 中華骨與關節外科雜志, 2019, 12(11): 848-853.
11.	楊霞, 李國宏, 張甜甜. 髖、膝關節置換術后早期下床活動研究進展. 齊魯護理雜志, 2017, 23(24): 58-61.
12.	楊玉潔, 毛阿燕, 喬琛, 等. 精準醫療的概念內涵及其服務應用. 中國醫院管理, 2020(1): 5-8.
13.	陳佳麗, 寧寧, 李佩芳, 等. 協同創新在加速康復外科圍手術期管理中的應用進展. 華西醫學, 2017, 32(9): 1317-1319.
14.	張桐, 王凱, 徐成陽, 等. 氣管推移訓練聯合超短波治療對頸椎前路術后患者早期局部軟組織腫脹的影響. 中華物理醫學與康復雜志, 2021, 43(2): 155-157.
15.	王軼. 桂枝加葛根湯結合“米字操”治療頸型頸椎病60例. 中醫外治雜志, 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.	陳樹軍, 解妍琪, 王巧英, 等. 快速康復外科理念在頸椎間盤置換患者圍手術期中的應用. 中國繼續醫學教育, 2021, 13(9): 171-175.
18.	張子鳳, 彭玉慧, 孫潔, 等. 頸椎病患者圍手術期快速康復模式的探討. 江蘇醫藥, 2015, 41(13): 1604-1606.
19.	鄧欣, 寧寧, 陳佳麗, 等. 加速康復外科術后結局評價指標研究進展. 華西醫學, 2017, 32(9): 1362-1365.
20.	嚴廣斌. 視覺模擬評分法. 中華關節外科雜志(電子版), 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.	李魯, 王紅妹, 沈毅. SF-36健康調查量表中文版的研制及其性能測試. 中華預防醫學雜志, 2002, 36(2): 109-113.
26.	中華醫學會外科學分會, 中華醫學會麻醉學分會. 加速康復外科中國專家共識及路徑管理指南(2018版). 中國實用外科雜志, 2018, 38(1): 1-20.

1. 陳明, 韓濤, 朱立國, 等. 頸椎病的防治研究芻議. 海南醫學院學報, 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. 景少澤, 馬迅, 周鑫, 等. 頸椎前路手術并發癥研究進展. 中華老年多器官疾病雜志, 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, 王貝宇, 等. 頸椎前路手術加速康復外科實施流程專家共識. 中華骨與關節外科雜志, 2019, 12(7): 486-497.
7. 周非非, 孫宇, 張鳳山, 等. 頸椎前路椎間盤切除、植骨融合內固定術治療脊髓型頸椎病術后軸性癥狀的前瞻性研究. 中國脊柱脊髓雜志, 2014, 24(6): 505-509.
8. 周鑫, 馬向陽, 楊進城, 等. 頸椎前路術后早期急性并發癥的原因及治療. 中國矯形外科雜志, 2015, 23(23): 2198-2201.
9. 余彬, 彭銀虓, 薛力, 等. 零切跡椎間融合固定器與傳統頸前路鋼板Cage融合內固定治療雙節段頸椎病的比較. 中國組織工程研究, 2020, 24(9): 1342-1347.
10. 王瑞, 梁伯冉, 李宏, 等. 頸椎前路單節段cage與zero-P輔助減壓融合術治療頸椎退變性疾病的療效比較. 中華骨與關節外科雜志, 2019, 12(11): 848-853.
11. 楊霞, 李國宏, 張甜甜. 髖、膝關節置換術后早期下床活動研究進展. 齊魯護理雜志, 2017, 23(24): 58-61.
12. 楊玉潔, 毛阿燕, 喬琛, 等. 精準醫療的概念內涵及其服務應用. 中國醫院管理, 2020(1): 5-8.
13. 陳佳麗, 寧寧, 李佩芳, 等. 協同創新在加速康復外科圍手術期管理中的應用進展. 華西醫學, 2017, 32(9): 1317-1319.
14. 張桐, 王凱, 徐成陽, 等. 氣管推移訓練聯合超短波治療對頸椎前路術后患者早期局部軟組織腫脹的影響. 中華物理醫學與康復雜志, 2021, 43(2): 155-157.
15. 王軼. 桂枝加葛根湯結合“米字操”治療頸型頸椎病60例. 中醫外治雜志, 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. 陳樹軍, 解妍琪, 王巧英, 等. 快速康復外科理念在頸椎間盤置換患者圍手術期中的應用. 中國繼續醫學教育, 2021, 13(9): 171-175.
18. 張子鳳, 彭玉慧, 孫潔, 等. 頸椎病患者圍手術期快速康復模式的探討. 江蘇醫藥, 2015, 41(13): 1604-1606.
19. 鄧欣, 寧寧, 陳佳麗, 等. 加速康復外科術后結局評價指標研究進展. 華西醫學, 2017, 32(9): 1362-1365.
20. 嚴廣斌. 視覺模擬評分法. 中華關節外科雜志(電子版), 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. 李魯, 王紅妹, 沈毅. SF-36健康調查量表中文版的研制及其性能測試. 中華預防醫學雜志, 2002, 36(2): 109-113.
26. 中華醫學會外科學分會, 中華醫學會麻醉學分會. 加速康復外科中國專家共識及路徑管理指南(2018版). 中國實用外科雜志, 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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