脊柱侧弯合并椎管内病变一期手术治疗的围术期护理  

Perioperative nursing after stage Ⅰ surgical treatment for scoliosis complicated with intraspinal lesion

作　　者：赵中晶 于志伟[1] 钱瑜[1] Zhao Zhongjing;Yu Zhiwei;Qian Yu(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053

出　　处：《中华现代护理杂志》2018年第34期4199-4201,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨脊柱侧弯合并椎管内病变一期手术围术期护理的效果。方法采用回顾性分析法,选取2016年10月—2017年12月首都医科大学宣武医院神经外科采用一期手术治疗的12例脊柱侧弯合并椎管内病变患者为研究对象。给予针对性的围术期护理措施及功能锻炼指导,预防手术并发症的发生。结果12例脊柱侧弯合并椎管内病变患者一期手术均获得成功,术后下肢肌力改善,肌张力降低;排尿障碍改善。住院时间(14.91±2.90)d,时间范围9~20 d,无一例出现围术期感染、脑脊液漏等手术相关并发症。术后随访(11.75±3.42)个月,时间范围3~17个月,均无神经功能缺损恶化、迟发性感染和假关节形成,未出现矫形丢失。结论脊柱侧弯合并椎管内病变一期手术治疗可以提高患者的治疗效果,做好围术期病情观察,给予相应的专科护理措施有利于减少相关并发症的发生。Objective To explore the effects of perioperative nursing care after stage Ⅰ surgical treatment for scoliosis complicated with intraspinal lesion.Methods Totally 12 patients with scoliosis complicated with intraspinal lesion who received stage Ⅰ surgical treatment from October 2016 to December 2017 were selected by retrospective analysis. These patients received targeted nursing care and functional exercise guidance perioperatively to prevent the incidence of surgical complications.Results The stage Ⅰ surgical treatment for the 12 patients with scoliosis complicated with intraspinal lesion was successful. Their lower limb muscle strength improved and their muscular tension reduced;and urination disorder was mitigated post operation. The length of hospital stay was (14.91±2.90)d, ranging from 9 to 20 d. No perioperative infection, cerebrospinal fluid leakage or other surgical complications were found in any patient. The duration of postoperative follow-up visits was (11.75±3.42) months, ranging from 3 to 17 months. No loss or deterioration of neurological function, delayed infection, pseudarthrosis or orthopaedic loss was found.Conclusions Stage Ⅰ surgical treatment for scoliosis complicated with intraspinal lesion can improve the treatment effects in patients. Better perioperative observation and specialized nursing care can help to reduce the incidence of relevant complications.

关 键 词：围手术期护理 脊柱侧弯 椎管内占位 一期手术 并发症 专科护理 

分 类 号：R473.6[医药卫生—护理学]