早期康复护理对颈椎前路减压植骨融合术预后的影响  

The effects of early rehabilitation nursing to the patients who suffered the anterior spinal decompression and spinal fusion

作　　者：王琼芳[1] 邹镜宜[1] 何惠兰[1] 李红芳[1] 黄雪娟[1] 何杏贤[1] 

机构地区：[1]肇庆市第一人民医院骨科,526021

出　　处：《国际医药卫生导报》2011年第6期744-748,共5页International Medicine and Health Guidance News

摘　　要：目的总结康复护理对颈椎前路减压植骨融合术预后的影响。方法分析2008年1月至2010年12月我科收治的42例颈椎前路减压植骨融合术患者，术前重点施行戒烟宣教，心理护理，气管移位训练，体位训练，呼吸功能训练；术后做好病情观察，颈部血肿、四肢感觉及运动的观察，正确体位护理，保持呼吸道通畅，头颈部有效制动，康复训练及出院指导，术后定期随访。结果随访3～6个月，椎间植骨均达骨性融合，无钢板、螺钉松动，植骨块松动移位和塌陷发生，临床症状明显改善，改善总有效率达97％。全部患者伤口Ⅰ期愈合，无1例出现并发症。结论科学规范的护理，对提高疗效减少手术并发症非常重要。特别是心理护理及术前气管移位训练，术后密切观察，积极预防并发症，体位护理，早期康复训练至关重要。Objective To discuss the effects of early rehabilitation nursing to the patients who suffered the anterior spinal decompression and spinal fusion .Methods Analyse 42 cases in our hospital during JAN 2008 to DEC 2010 , who suffered the anterior spinal decompression and spinal fusion , before the operation, we persuade them to give up smoking and give them guidances on psychology, trachea displacement,postures training and respiratory. After the operation ,we observe the conditions, such as： the neck hematoma, the feelings and movements of arms and legs.Even giving them the recovery training and guidances when leaving the hospital. Results In the following-up visit of 3 - 6 months, we found that ： Between vertebra bone graft reach osseous fusion; No steel screw loose No Grafts loose shift and collapse occurred. The clinical symptoms improve, the effective rate reach 97% All the patients recover during the first period, without any complications. Conclusion A scientific and standardized nursing, is good to enhance the curative effect and reducing complications, the psychological guidance and the tracheal displacement before the operation is also very important. After the operation close observation , the prevention of the complication and the recovery training are crucial on recovery.

关 键 词：脊柱融合术 颈椎前路减压 护理 

分 类 号：R687.3[医药卫生—骨科学]