目的:观察集束化护理干预在预防腰椎融合术后疼痛中的实施效果。方法:将2013年1月至2014年12月收治的符合纳入标准的120例腰椎融合手术患者随机分为试验组(60例)和对照组(60例),试验组采用集束干预方案,对照组采用传统术后镇痛方案,比较两组患者在术后12、24、48、72 h疼痛评分,术后3 d哌替啶使用量及恶心呕吐、皮肤瘙痒等不良反应情况。结果:试验组在术后12、24、48、72 h疼痛评分及术后哌替啶使用量次上明显低于对照组,差异均有统计学意义(P<0.05)。两组患者在术后恶心呕吐、嗜睡、皮肤瘙痒等并发症的发生率上差异均无统计学意义(P>0.05)。结论:集束化护理干预应用于脊柱外科手术有助于降低术后疼痛,提高患者围手术期生活质量,值得临床推广。 Objective: To observe the effect of intensive nursing intervention in prevention of pain after lumbar fusion surgery. Methods: A total of 120 lumbar fusion patients who met the inclusion criteria from January 2013 to December 2014 were randomly divided into experimental group (60 cases) and control group (60 cases) Traditional postoperative analgesia was used to compare the pain scores at 12, 24, 48 and 72 h after operation, the amount of pethidine and nausea and vomiting 3 d after operation, and pruritus and other adverse reactions in both groups. Results: The pain scores at 12, 24, 48, and 72 h postoperatively and the postoperative usage of pethidine in the experimental group were significantly lower than those in the control group (P <0.05). There was no significant difference in the incidence of postoperative nausea, vomiting, lethargy, pruritus and other complications between the two groups (P> 0.05). Conclusion: The intensive nursing intervention applied to spine surgery helps to reduce the postoperative pain and improve the perioperative quality of life of patients, and is worthy of clinical promotion.