脊柱侧凸患者术前采用脊柱侧凸牵引床牵引的效果评价及护理  

Evaluation of Traction Effect of Scoliosis Patients Using Traction Bed before Operation

作　　者：汪小冬[1] 高音[1] 朱建英[1] 

机构地区：[1]第二军医大学第一附属医院护理部,上海200433

出　　处：《护理学报》2010年第6期1-4,共4页Journal of Nursing（China）

基　　金：上海市科学技术委员会科研计划项目(044119610)

摘　　要：目的评价脊柱侧凸患者术前采用自行设计牵引床牵引的效果、舒适度、术后并发症,并提出牵引过程的护理重点。方法统计分析22例脊柱侧凸患者牵引前后脊柱柔韧度相关指标的变化及与术后正位Cobb角的相关性,牵引舒适度情况、牵引相关并发症以及术后并发症。结果所有患者均完成牵引,牵引前后脊柱柔韧度改变明显(P<0.05),术后正位Cobb角改变值与牵引前后各体位Cobb角度差值有关系(P<0.05),牵引过程及术后相关并发症少。结论脊柱侧凸患者术前采用自行设计牵引床进行牵引舒适度高、效果显著、牵引相关并发症少,护理人员相关工作量减少,但牵引床占用空间比较大,床架结构有待进一步改进。Objective To evaluate the effect of self-designed traction bed on scoliosis patients before operation. Methods Self- control studies were conducted to statistically analyze the index changes of spinal flexibility of 22 scoliosis patients before and after traction and their relationship with postoperative orthophoria Cobb angle, comfort degree and complications. Results The index of spinal flexibility before and after traction was significantly changed（P〈O.05）; there were regression relationships between postoperative change in orthophoria Cobb angle and all of changes in individual Cobb angle at all positions before and after traction （P〈0.05） as well as the complication few. Conclusion The self-designed sliding traction bed before operation is obviously effective which may be popularized fur clinical use.

关 键 词：脊柱侧凸 牵引床 牵引效果 护理 

分 类 号：R681.5[医药卫生—骨科学] R473.6[医药卫生—外科学]