青少年特发性脊柱侧凸患者围手术期护理专家共识  

Expert consensus on perioperative nursing of adolescent idiopathic scoliosis

作　　者：佟冰渡[1] 苏晓静 陈佳丽[3] 黄洁[4] 郑金凤 朱婷[6] 宁宁[3] 鲁雪梅[7] 高远 郭娜[1] 陈亚萍[1] TONG Bingdu;SU Xiaojing;CHEN Jiali;HUANG Jie;ZHENG Jinfeng;ZHU Ting;NING Ning;LU Xuemei;GAO Yuan;GUO Na;CHEN Yaping(Department of Orthopaedics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730;Department of Orthopaedics,First Medical Center,Chinese People's Liberation Army General Hospital,Beijing 100039;Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041;Department of Spine Surgery,Beijing Jishuitan Hospital,Beijing 100035;Department of Orthopaedics,Nanjing Drum Tower Hospital,Nanjing 210008;Department of Pediatric Orthopaedics,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092;Department of Nursing,Beijing Jishuitan Hospital,Beijing 100035;Department of Nursing,First Medical Center,Chinese People's Liberation Army General Hospital,Beijing 100039,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院骨科,北京100730 [2]中国人民解放军总医院第一医学中心骨科,北京100039 [3]四川大学华西医院骨科,成都610041 [4]北京积水潭医院脊柱外科,北京100035 [5]南京鼓楼医院骨科,南京210008 [6]上海交通大学医学院附属新华医院小儿骨科,上海200092 [7]北京积水潭医院护理部,北京100035 [8]中国人民解放军总医院第一医学中心护理部,北京100039

出　　处：《中华骨与关节外科杂志》2022年第11期822-830,共9页Chinese Journal of Bone and Joint Surgery

基　　金：中央高校基本科研业务费专项基金(3332021019);中央高水平医院临床科研业务费专项基金(2022-PUMCH-B-031)~~

摘　　要：青少年特发性脊柱侧凸是最常见的脊柱侧凸类型,后路矫形融合术围手术期患者护理工作复杂多变,缺乏统一标准。全国脊柱外科医师、护理专家及手术室护理专家成立共识编写专家委员会,以临床问题为导向,基于循证医学证据,归纳出14个专家共识条目,分别为健康宣教、心理护理、体位护理、脊髓神经功能观察及处理、疼痛管理、手术部位感染的预防、肺部管理、胃肠道管理、管路护理、发热管理、术后脑脊液漏的护理、术后早期下床活动、日常生活训练、随访管理。对上述14个条目进行文献检索及证据综合,通过多次会议讨论及函询,反复讨论和完善后形成本共识,期望其为临床护理人员对青少年特发性脊柱侧凸患者的围手术期护理提供指引。Adolescent idiopathic scoliosis(AIS)is the most common type of scoliosis.Perioperative nursing of posterior spinal fusion for AIS is complex and changeable,and there is lack of unified standards.To achieve the detailed and individualized perioperative nursing and compile a consensus,a collaborative expert committee including spine surgeons,spine nursing experts and operating room nursing experts was established.Focusing on the clinical problems and following evidence-based medicine principles,the experts summarized the following 14 items:health education,psychological nursing,postural nursing,spinal cord nerve function observation and management,pain management,surgical site infection prevention,lung management,gastrointestinal management,tubing care,fever management,postoperative cerebrospinal fluid leakage nursing,early mobilization,daily life training,follow-up management.Literatures related to these 14 items were searched.This consensus was developed by multiple conference communication,discussion and revisions.It is expected to provide guidance for clinical nurses for the perioperative care of AIS patients.

关 键 词：青少年特发性脊柱侧凸 后路融合手术 围手术期 专家共识 

分 类 号：R682[医药卫生—骨科学]