腰骶部轴向椎体间融合术的围手术期护理  

作　　者：欧肇兰[1] 罗春晓（通讯作者）[1] 李晓玲[1] 袁海娟[1] 邓颜芳[1] 

机构地区：[1]中山大学附属第三医院脊柱外科,广东广州510630

出　　处：《中国中医药咨讯》2010年第2期254-255,共2页

摘　　要：目的：总结轴向椎体间融合术微创治疗L5／S1失稳症围手术期的护理内容。方法：通过对临床12例施行了腰骶部轴向椎体间融合术的腰骶椎失稳症患者术前给予充分的心理疏导，积极的术前准备及术后严密的病情观察和适时的功能锻炼及健康指导。结果：该组患者无一例发生并发症，术后第2天戴腰围下床活动，随访3—9个月，患者症状较术前明显改善。结论：轴向椎体间融合术的手术创伤小，术后恢复快，术前严格的皮肤准备和肠道准备，术后对伤口，排便情况和肢体神经功能情况的观察加上适时的功能锻炼指导是该术式围手术期护理的重点。Objective ： conclude the content of nursing of the axial lumbar interbody fusion（AxiaLIF） minimally cure L5/S1 instability during perioperative period. Methods ： give enough preoperative mentality leading, active preoperative preparation, postoperative strict observation and timely function exercises and healthy guidance to the 12 patients with Lumbar instability who were performed AxiaLIFo Re＇suits ： all of patients in this group can get out of bed to exercise with waistline on the following day after operation, without any complication. Follow - up medicine for 3 - 9 months, symptoms of patients has been better than before operation. Conclusion： the AxiaLIF has little wound, and is fast in recovering. The key point of nursing of this operation during perioperative period is strict preoperative skin preparation and bowel preparation, and postoperative observation on the wound, defecation and limb function.

关 键 词：护理 轴向椎体间融合术 微创手术 腰椎失稳症 

分 类 号：R473.6[医药卫生—护理学] R681.5[医药卫生—临床医学]