20例Bryan人工颈椎间盘置换术围手术期护理
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摘要
目的:总结和探讨20例人工颈椎间盘置换术患者围手术期护理要点。方法:对20例脊髓型颈椎病和神经根型颈椎病患者进行人工颈椎间盘置换术治疗,术前针对患者进行心理护理、呼吸功能锻炼以及气管和食管推移训练,术后除密切观察患者病情变化之外,采取体位、切口、饮食护理和功能锻炼。结果:20例患者术后四肢麻木、乏力等神经症状均有不同程度改善,住院期间无伤口感染、颈部血肿或窒息及神经功能损害加重等并发症的发生。结论:对人工颈椎间盘置换术患者做好围手术期护理,可以获得良好的治疗效果,缩短康复时间。
Objective: To summarize the experience of perioperative nursing for 20 patients undergoing artificial cervical intervertebral disc replacement.Methods: Twenty patients with cervical myelopathy or radiculopathy undergone artificial cervical intervertebral discs replacement were included. The nursing plan included preoperative mental nursing,exercise on respiratory function and guidance to practicing lapse of the oesophagus and trachea as well as post-operative profiles,including closely monitoring the changes of patient's condition,appropriate body posture,nursing of the wound,diet instructions and rehabilitation of the cervical function. Results: All patients had relief to a certain extent in neurological symptoms such as numbness of extremities and fatigue. No complications,including wound infection,neck hematoma or suffocation,occurred during hospital stay. Conclusion: Carefully planned perioperative nursing strategies may lead to better curative effect and ensure early recovery for patients following artificial cervical intervertebral disc replacement.
Objective: To summarize the experience of perioperative nursing for 20 patients undergoing artificial cervical intervertebral disc replacement.Methods: Twenty patients with cervical myelopathy or radiculopathy undergone artificial cervical intervertebral discs replacement were included. The nursing plan included preoperative mental nursing,exercise on respiratory function and guidance to practicing lapse of the oesophagus and trachea as well as post-operative profiles,including closely monitoring the changes of patient's condition,appropriate body posture,nursing of the wound,diet instructions and rehabilitation of the cervical function. Results: All patients had relief to a certain extent in neurological symptoms such as numbness of extremities and fatigue. No complications,including wound infection,neck hematoma or suffocation,occurred during hospital stay. Conclusion: Carefully planned perioperative nursing strategies may lead to better curative effect and ensure early recovery for patients following artificial cervical intervertebral disc replacement.
引文
[1]陈波,金格勒,杨毅,等.颈椎间盘置换与颈前路减压植骨融合治疗单节段颈椎病中期疗效的Meta分析[J].中国脊柱脊髓杂志,2014,24(6):417-525.
[2]钱忠来,杨惠林,姜为民,等.人工颈椎间盘置换术治疗颈椎病12例近期疗效分析[J].苏州大学学报(医学版),2010,30(6):1271-1273.
[3]蒋中艳,段领燕,李媛媛,等.颈椎间盘置换围手术期呼吸道护理[J].遵义医学院学报,2010,33(5):499-500.
[4]农鲁明,周栋,徐南伟.人工颈椎间盘置换术治疗颈椎病的中期疗效观察[J].中国脊柱脊髓杂志,2010,20(7):567-571.
[5]楼敏燕.人工颈椎间盘置换术患者围术期护理[J].浙江医学,2010,32(11):1722-1724.
[6]莫茹.循证护理在颈椎间盘置换围术期的应用[J].实用临床医药杂志,2012,16(16):104-110.
[7]宋丹.人工颈椎间盘置换术20例围手术期护理[J].齐鲁护理杂志,2011,17(26):33-34.
[8]陈辉,马迅,陈晨,等.人工颈椎间盘置换术近期疗效和并发症分析[J].中华临床医师杂志(电子版),2014,8(11):163-166.
[9]李红亚,徐珍瑾.Discover人工颈椎间盘置换病人的围术期护理[J].护理研究,2014,28(8):2767-2769.
[2]钱忠来,杨惠林,姜为民,等.人工颈椎间盘置换术治疗颈椎病12例近期疗效分析[J].苏州大学学报(医学版),2010,30(6):1271-1273.
[3]蒋中艳,段领燕,李媛媛,等.颈椎间盘置换围手术期呼吸道护理[J].遵义医学院学报,2010,33(5):499-500.
[4]农鲁明,周栋,徐南伟.人工颈椎间盘置换术治疗颈椎病的中期疗效观察[J].中国脊柱脊髓杂志,2010,20(7):567-571.
[5]楼敏燕.人工颈椎间盘置换术患者围术期护理[J].浙江医学,2010,32(11):1722-1724.
[6]莫茹.循证护理在颈椎间盘置换围术期的应用[J].实用临床医药杂志,2012,16(16):104-110.
[7]宋丹.人工颈椎间盘置换术20例围手术期护理[J].齐鲁护理杂志,2011,17(26):33-34.
[8]陈辉,马迅,陈晨,等.人工颈椎间盘置换术近期疗效和并发症分析[J].中华临床医师杂志(电子版),2014,8(11):163-166.
[9]李红亚,徐珍瑾.Discover人工颈椎间盘置换病人的围术期护理[J].护理研究,2014,28(8):2767-2769.