关键词: 血液管理, 围手术期, 加速康复外科, 护理

Abstract: Objective: To explore the effect of multidisciplinary blood management strategy on perioperative accelerated rehabilitation nursing in patients undergoing posterior long-segment lumbar surgery. Methods: Forty-five patients who underwent long -segment lumbar surgery between July 2021 and December 2021 were included in the control group, and forty-five patients who underwent long -segment lumbar surgery between January 2022 and May 2022 were included in the observation group. The control group received the routine blood management program in perioperative period. The observation group was given a multidisciplinary cooperative blood standard management strategy. The intraoperative blood loss, hemoglobin values on day 1 and day 3, postoperative drainage volume, indwelling time of postoperative drainage catheter, postoperative bed rest time, number of perioperative allogeneic blood transfusion and the occurrence of VTE were compared between the two groups. Results: There was no significant difference in intraoperative blood loss between the two groups(P=0.66). The hemoglobin value of the two groups on day 1 and day 3 after surgery was compared, the observation group was significantly better than the control group (P<0.001). The postoperative drainage volume of the observation group was significantly less than the control group(P=0.001), while there was no significant difference in the indwelling time of the postoperative drainage tube between the two groups(P=0.86). The postoperative bed rest time in the observation group was significantly shorter than the control group(P<0.001). The number of perioperative allogeneic blood transfusion cases in the observation group was significantly less than the control group(P<0.001). There was no significant difference in the number of VTE cases between the two groups(P=0.17). Conclusion: The application of multidisciplinary blood standard management intervention strategy in patients with lumbar disc herniation undergoing long-segment lumbar surgery is beneficial to improve the perioperative hemoglobin value and accelerate postoperative recovery in patients undergoing posterior longsegment lumbar surgery.

Key words: Blood management, Perioperative period, Accelerated rehabilitation surgery, Nursing