Bryan人工颈椎间盘置换术12例围术期护理  

Perioperative nursing care of 12 patients with Bryan cervical artificial disc replacement surgery

作　　者：魏红[1] 

机构地区：[1]山东省千佛山医院,山东济南250014

出　　处：《齐鲁护理杂志（下旬刊）》2010年第11期7-9,共3页Journal of Qilu Nursing

摘　　要：目的:探讨Bryan人工颈椎间盘置换术治疗颈椎病的围术期护理方法。方法:对12例颈椎病患者在术前做好评估,进行心理护理、呼吸道护理、唤醒试验练习,完善术前相关准备如体位练习、气管推移训练、呼吸功能锻炼等并做好术前常规准备;术后做好体位护理和饮食护理,监测生命体征,密切观察切口引流情况及神经系统症状,积极观察和预防并发症,早期进行康复锻炼,做好出院康复指导。结果:患者术后1周下床,JOA评分由术前(8.5±2.1)分上升至(15.4±2.7)分;Odom评分标准评价综合疗效为优9例、良3例,未发生护理并发症。结论:Bryan人工颈椎间盘置换术用于治疗颈椎病可获得较为满意的治疗效果,做好围术期的护理,尤其是加强术后护理,是取得良好治疗效果的保障。Objective： To explore the perioperative nursing methods in the treatment of cervical spondylosis by Bryan cervical artificial disc replacement surgery. Methods： The evaluation on 12 patients with cervical spondylosis was well done before surgery and comprehensive nursing care was carried out, such as psychological care, respiratory tract care, wake - up test practice, postural adaptation training, tracheal shifting training, respiratory function training, postoperative posture care,diet care, observation on vital signs, drainage and symptoms of nervous system, active prevention of complications and guidance on reha- bilitation training when the patients were discharged from hospital. Results： The patients fully got out of bed within one week, JOA score increased from 8.5 ＋2.1 points before surgery to 15.4 ~2.7 points after surgery. The effect was excellent in 9 cases and good in 3 cases according to the Odom rating criteria and no complications due to nursing care occurred. Conclusion： It can achieve satisfactory effect to apply Bryan cervical artificial disc replacement to the treatment of cervical spondylosis. Good perio- perative nursing care, especially enhanced postoperative nursing care is the guarantee of the good therapeutic effect.

关 键 词：颈椎病 人工颈椎间盘置换 围术期护理 

分 类 号：R473.6[医药卫生—护理学]