简介：　　【摘要】 目的 研究分析腰椎管狭窄患者接受舒适护理的临床效果。方法 80例腰椎管狭窄患者， 随机分为对照组和舒适组， 每组 40例。两组患者均采取椎弓根钉内固定 +减压 +椎间融合术， 后路腰椎椎体间融合（ PLIF）术， 经椎间孔腰椎椎间融合（ TLIF）术；对照组患者接受常规护理， 舒适组患者在对照组护理基础上加用了舒适护理。对两组的伤口疼痛、术后并发症发生情况及满意度进行比较分析。结果 两组患者均为未出现严重手术并发症， 舒适组患者的伤口疼痛率为 7.50%（ 3/40）， 对照组患者的伤口疼痛率为 22.50%（ 9/40）， 两组患者比较差异具有统计学意义（ P<0.05）。舒适组患者发生脑脊液漏 2例， 脊髓神经功能受损 1例， 并发症发生率为 7.50%；对照组患者发生脑脊液漏 2例， 脊髓神经功能受损 3例， 并发症发生率为 12.50%；两组患者并发症发生率比较差异无统计学意义（ P>0.05）。舒适组患者的满意度为 97.50%（ 39/40）， 显著高于对照组的 80.00%（ 32/40）， 差异具有统计学意义（ P<0.05）。结论 腰椎管狭窄患者接受舒适护理能够消除内心恐惧， 提升手术配合度， 降低不良反应发生几率， 改善护患关系， 临床应该推广使用。  　　【关键词】 腰椎椎管狭窄；舒适护理；围手术期  　 [Abstract] Objective To study and analyze the clinical effect of comfort nursing for patients with lumbar stenosis. Methods 80 patients with lumbar stenosis were randomly divided into control group and comfortable group, 40 cases in each group. The patients in both groups were treated with pedicle screw fixation + decompression + interbody fusion, posterior lumbar interbody fusion (PLIF), and lumbar interbody fusion through intervertebral foramen (TLIF). The patients in the control group received routine nursing, while the patients in the comfort group added comfort nursing on the basis of the nursing in the control group. The pain, complications and satisfaction of the two groups were compared. Results there were no serious surgical complications in the two groups, the pain rate of the comfortable group was 7.50% (3 / 40), the pain rate of the control group was 22.50% (9 / 40), the difference between the two groups was statistically significant (P < 0.05). There were 2 cases of CSF leakage and 1 case of spinal cord nerve function impairment in comfortable group, with a complication rate of 7.50%; 2 cases of CSF leakage and 3 cases of spinal cord nerve function impairment in control group, with a complication rate of 12.50%; there was no significant difference between the two groups (P > 0.05). The satisfaction of comfort group was 97.50% (39 / 40), significantly higher than that of control group (80.00%) (32 / 40), the difference was statistically significant (P < 0.05). Conclusion comfortable nursing for patients with lumbar spinal stenosis can eliminate their inner fear, improve the cooperation degree of operation, reduce the incidence of adverse reactions, and improve the relationship between nurses and patients.