循证护理在颈前路术后脑脊液漏患者护理中应用的效果评价  

A research of the application of evidence-based nursing in the patients with cerebrospinai fluid leakage after vertebrae surgery

作　　者：沈谢冬[1] 张英[1] 王镜林[1] 殷栋梅 王世英[1] 

机构地区：[1]上海长征医院,200003

出　　处：《中国实用护理杂志》2014年第21期34-36,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨循证护理应用于颈前路术后脑脊液漏患者中的效果。方法将颈前路术后发生脑脊液漏的60例患者随机分为观察组和对照组各30例，对照组给予常规护理，观察组采用循证护理方案，针对脑脊液漏引起的一系列相关护理问题，查阅相关资料和文献，获取直接和间接实证，并进行分析、归纳，结合临床实践，制订出护理方案并实施，对2组患者的低颅压性头痛、低钠血症、切口愈合障碍及椎间隙感染等发生率、症状持续时间进行对比。结果2组术后低颅压性症状即头痛发生率比较差异有统计学意义；2组术后低钠血症、切口愈合障碍发生率比较差异有统计学意义；2组患者感染发生率比较差异无统计学意义。观察组患者的症状持续时间明显低于对照组。结论运用循证护理可减少颈前路术后脑脊液漏患者的一系列并发症，有效控制感染，提高患者的舒适度，提升护理质量。Objective To investigate the application of evidence-based nursing in the patients with eerebrospinal fluid leakage （CSFL） after vertebrae surgery. Methods 60 cases of patients were randomly divided into the observation group and the control group （30 cases in each）, the control group was given conventional nursing, the observation group used evidence-based nursing, which was established by referring to some data and literatures according to a series of related nursing problems, getting direct and indirect evidence, and through analysis and summarizing to set up the nursing project for implementation. The incidence of intracranial hypotension headache, hyponatremia, wound healing disorders, infection of inter- vertebral space were compared. Results In the observation group, incidence of postoperative intracranial hypotension symptoms, postoperative hyponatremia, the incidence of wound healing disorders was statistically different from that of the control group. The incidence of infection in two groups showed no significant difference. Conclusions Using evidence-based nursing can reduce a series of complications in patients with CSFL after cervical surgery, control infection effectively, improve patients＇ comfort and improve the quality of nursing.

关 键 词：脑脊液漏 循证护理 颈椎手术 

分 类 号：R473.6[医药卫生—护理学]