Objective. The study aimed to analyze the effect of fast-track surgery with pain care on the improvement of postoperative pain and the prevention of postoperative complications in perioperative spinal surgery patients. Methods. A total of 126 patients undergoing spinal surgery from January 2021 to September 2021 were chosen as the study population, and the patients were classified into the regular group, the FTS group, and the combined group by random grouping, with 42 cases in each group. Patients in the regular group used routine perioperative care in spine surgery, patients in the FTS group used the FTS care model, and patients in the combined group combined special pain care on the basis of the FTS group. We compared the numeric rating scale (NRS) and pain severity of patients in the three groups post-op, 30 min, 1 h, 3 h, 6 h, and 24 h after surgery; we compared the time to get out of bed, length of stay, and occurrence of postoperative adverse effects in the three groups, compared the incidence of complications in the three groups, and compared the satisfaction of care in the three groups. Results. The NRS scores at 12 h, 24 h, 48 h, and 72 h post-op in the combined group and FTS group were lower than those in the regular group, and the NRS scores at 12 h and 24 h post-op in the combined group were lower than those in the FTS group (all ); the post-op bed activity time, post-op hospitalization time, post-op adverse reaction rate, and post-op complication rate in the combined group and FTS group were shorter or lower than those of the regular group. Nursing satisfaction was higher than that of the regular group, the post-op time to bed activity in the combined group was shorter than that of the FTS group, and nursing satisfaction was higher than that of the FTS group (all ). Conclusion. The use of FTS with pain care interventions helps relieve postoperative pain in perioperative patients in spine surgery, reduce the incidence of post-op adverse effects and complications in patients, accelerate their postoperative recovery, and improve nursing satisfaction.

中文翻译：

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快速通道手术与疼痛护理对围手术期脊柱手术患者术后疼痛改善及并发症预防的分析

客观。本研究旨在分析带疼痛护理的快速通道手术对围手术期脊柱手术患者术后疼痛改善和术后并发症预防的效果。方法. 选取2021年1月至2021年9月接受脊柱手术的患者126例作为研究人群，将患者随机分组分为常规组、FTS组和联合组，每组42例。常规组患者在脊柱手术中采用常规围手术期护理，FTS组患者采用FTS护理模式，联合组患者在FTS组的基础上结合特殊疼痛护理。我们比较了三组患者术后、术后30 min、1 h、3 h、6 h、24 h的数值评定量表（NRS）和疼痛严重程度；我们比较了三组的下床时间、住院时间、术后不良反应的发生情况，比较了三组并发症的发生率，结果。联合组和FTS组术后12 h、24 h、48 h、72 h NRS评分低于常规组，术后12 h、24 h NRS评分联合组均低于 FTS 组（均); 联合组和FTS组术后床位活动时间、术后住院时间、术后不良反应发生率、术后并发症发生率均短于或低于常规组。护理满意度高于常规组，联合组术后上床活动时间短于 FTS 组，护理满意度高于 FTS 组（均）。 结论。FTS配合疼痛护理干预有助于缓解脊柱手术围手术期患者的术后疼痛，降低患者术后不良反应和并发症的发生率，加速患者术后恢复，提高护理满意度。