| 摘要: |
| ［摘要］ 目的 系统检索文献并总结归纳腰椎退行性疾病（LDD）术后患者早期下床活动的相关证据，为临床实践提供循证参考依据。方法 系统检索2015年1月至2025年3月LDD患者术后早期下床活动相关文献，对纳入文献进行质量评价、证据提取及分级。结果 共纳入12篇文献，包括3篇指南、5篇专家共识、2篇系统评价、2篇随机对照试验。最佳证据归纳为7个维度，包括预康复、疼痛管理、胃肠道及营养管理、睡眠管理、下床活动前评估、下床活动内容、下床安全管理，共24条证据。结论 该研究总结的最佳证据为规范LDD术后患者早期下床活动提供循证参考依据，临床实践应用证据时，需结合实际情况，全面评估患者身体状况，制订个体化术后早期下床活动方案。 |
| 关键词: 腰椎退行性疾病 早期下床活动 加速康复外科 证据总结 |
| DOI：10.3969/j.issn.1674-3806.2026.02.19 |
| 分类号:R 473.6 |
| 基金项目:广西高校中青年教师科研基础能力提升项目（编号：2024KY0116）；广西壮族自治区卫生健康委员会自筹经费科研课题（编号：Z-A20240446） |
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| Summary of the best evidence for early postoperative ambulation in patients with lumbar degenerative diseases |
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WEI Jiani1, HUANG Chanyu2, YANG Sisi1, HUANG Qiuhong1, PAN Ximei1, YING Yanping3
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1.Department of Spine and Orthopedics, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China; 2.Emergency Trauma Center, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China; 3.Department of Nursing, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To systematically search literature and summarize the relevant evidence for early postoperative ambulation in patients with lumbar degenerative diseases(LDD), providing a basis for evidence-based clinical practice. Methods The relevant literature on early postoperative ambulation of the LDD patients from January 2015 to March 2025 was systematically searched, and the quality evaluation, evidence extraction, and grading of the included literature were conducted. Results A total of 12 papers were included, including 3 papers on guidelines, 5 papers on expert consensus, 2 papers on systematic review, and 2 papers on randomized controlled trials. The best evidence could be summarized as 7 dimensions, including prehabilitation, pain management, gastrointestinal and nutritional management, sleep management, assessment before ambulation, activities for ambulation, and safety management for ambulation, totaling 24 pieces of evidence. Conclusion The best evidence summarized in this study provides an evidence-based basis for standardizing early ambulation in LDD patients after the operation. When applying the evidence in clinical practice, it is necessary to comprehensively assess the patients′ physical condition in light of the actual situation and formulate a personalized plan for early postoperative ambulation. |
| Key words: Lumbar degenerative diseases(LDD) Early ambulation Enhanced recovery after surgery(ERAS) Summary of evidence |
