微侵袭手术治疗侧屈型痉挛性斜颈患者的护理  

Perioperative nursing care for minimally invasive neurosurgical treatment for lateral flexure spasmodic torticonis

作　　者：胡玲[1] 方慧[1] 胡薇[1] 姬绍先[1] 

机构地区：[1]华中科技大学同济医学院附属武汉中心医院,430014

出　　处：《中国实用护理杂志》2013年第14期29-31,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨微侵袭手术治疗侧屈型痉挛性斜颈患者的围手术期护理干预。方法采用微侵袭手术治疗88例侧屈型痉挛性斜颈（LaFST），调查患者起病诱因和情绪因素与临床表现的关系，加强对患者围手术期的心理护理、手术治疗护理、手术后的康复训练和指导。结果全组88例，斜颈症状痊愈72例占81．8％，显效12例占13．6％，进步4例占4．6％。结论颈部痉挛肌肉选择性切除和颈部神经选择性去神经术治疗侧屈型痉挛性斜颈，手术安全、创伤小、疗效满意。加强围手术期护理干预和手术后的康复指导是患者早日康复的重要措施。Objective To study the perioperative nursing care of minimally invasive operation in the neurosurgical treatment of laterial flexure spasmodic torticollis （LaFST）. Methods Minimally invasiveoperation was used to treat LaFST. The relationship of inducing factors and emotional factors with clinical manifestation of LaFST was investigated. To give perioperative psychological nursing, operation nursing andrehabilitation training and instruction. Results 72 cases were recovered （81.8%） among 88 cases. 12 cases（13.6%） were markedly effective. 4 cases（4.6%） showed progress. Conclusions The minimally in-vasive surgical treatment of selective resection of cervical spasmodic muscles and selective neurotomy of cervi- cal nerve for LaFST is safe and effective. Strengthening of perioperative nursing and postoperative rehabilitationinstruction is very important for patients＇ early recovery.

关 键 词：侧屈型痉挛性斜颈 微侵袭手术治疗 围手术期护理 护理干预 

分 类 号：R473[医药卫生—护理学]