后入路手术治疗胸腰椎结核的围手术期护理干预  

Perioperative patients care in posterior approach for surgical treatment of thoracic and lumbar tuberculosis

作　　者：郝灵芝[1] 马杰[1] 邵艳[1] 杨克霞[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院骨科,233004

出　　处：《中华全科医学》2014年第2期307-309,共3页Chinese Journal of General Practice

摘　　要：目的探讨后入路手术治疗胸腰椎结核的围手术期护理干预措施,有效地对患者进行护理干预,帮助患者顺利手术,尽快康复。方法通过术前心理干预和健康教育,以及术后监测、体位安置、疼痛护理、引流管护理、饮食指导、高热护理干预、预防感染和功能锻炼,促进患者早日恢复健康。结果对于有适应证的脊柱结核,单纯后路术式是一种安全有效、简便快捷的手术方式。本组27例患者,术前术后经过护士有效的护理干预,生命体征均平稳,住院期间治疗和护理效果满意,无护理并发症,术后神经功能明显改善。结论对后入路手术治疗胸腰椎结核患者,实施全面有效的围手术期护理干预措施,可以有效地改善患者疾病的痛苦情况,有效地控制患者病情,防止结核进一步感染,防止并发症的发生,促进患者早日康复,提高了脊柱结核患者的临床治愈率。Objective To improve the nurse care in the perioperative patients undergoing the posterior approach for surgi- cal treatment of thoracic and lumbar tuberculosis. Methods The preoperative psychological intervention and health edu- cation, postoperative monitoring, positioning, pain care, drainage-tube care, dietary instruction, care for a high fever, infec- tion prevention and function exercise were subjected to help the patient to recover as soon as possible. Results To spinal tuberculosis, the posterior resection is a safe and effective, simple and convenient operation mode. After the preoperative and postoperative nursing intervention, the vital signs of 27 patients were stable during hospitalization. The treatment and nursing effect was satisfactory, no complication had occurred, and the postoperative neurological function was improved ob- viously. Conclusion For the patients undergoing surgical treatment of thoracic and lumbar tuberculosis, the comprehen- sive and effective perioperative nursing intervention can effectively improve the pains of patients, control the disease, pre- vent further infection of tuberculosis and complications, promote early recovery. These strategies should increase the clini- cal cure rate of patients with spinal tuberculosis.

关 键 词：胸腰椎结核 后入路手术 围手术期 固定 护理 

分 类 号：R473.6[医药卫生—护理学] R529.2[医药卫生—临床医学]