特发性脊柱侧弯后路矫形植骨融合内固定围术期护理  

Perioperative nursing on posterior fusion and fixation for idiopathic scoliosis

作　　者：夏同霞[1] 袁发孝[1] 杨晓群[1] 周芬[1] 谢文婷[1] 李媛媛[1] 

机构地区：[1]遵义医学院附属医院骨二科,563003

出　　处：《中华创伤杂志》2011年第3期254-256,共3页Chinese Journal of Trauma

摘　　要：目的探讨脊柱侧弯后路矫形植骨融合内固定术围术期的护理方法。方法对31例特发性脊柱侧弯患者采用后路矫形钉、钩棒系统内固定选择性脊柱融合术，对于重度患者采用广泛后路松解或前路松解后矫形融合治疗；术前给予心理护理、肺功能训练、自我伸长训练、唤醒试验训练、自我形象鉴定、床上生活能力训练；术后密切观察神经系统变化，正确搬运和翻身，给予最佳卧位，加强引流管护理、呼吸道护理、功能锻炼指导和出院指导。结果31例患者均顺利完成手术。术后身高增加2～15cm。本组未发生螺钉及棒的松动、断裂及神经系统损伤、切口感染、压疮等。结论术前充分的准备，术后精细的护理是手术成功及患者尽早康复的重要保证。Objective To probe into the perioperative nursing method during osterior fusion and fixation for idiopathic scoliosis. Methods The study involved 31 patients with idiopathic seoliosis treated with posterior correction nails and selective spinal fusion with hook-rod system fixation. The severe patients were treated with extensive posterior release or anterior correction and fusion posterior to release. Before the operation, the patients were administrated with mental nursing, lung function exercise, self-e- longation exercise, wake-up pilot training, self-image appraisement and bed and life skills exercise. After the operation, an observation was done on the change of nervous system, proper turning the body over best elinostatism, drainage tube care, respiratory passage care, functional exercise instruction and discharge instruction. Results The operation was accomplished successfully in all the patients, which showed that the body height was increased 2-15 cm. There found no complications including loosening or breakage of the nails or sticks, nervous system injury, ineisional wound infection or pressure sore. Conclusion Preoperative sufficient preparation and fine postoperative nursing are important guarantee to successful operation and fast rehabilitation.

关 键 词：脊柱侧凸 骨折固定术 内 围术期护理 

分 类 号：R473.6[医药卫生—护理学]