专项护理干预对颈椎前路手术术后吞咽困难的影响  

Effect of Special Nursing on Dysphagia after Anterior Cervical Spine Surgery

作　　者：陈亚玲[1] 徐晶晶[1] 邓莉红[1] 涂思思 郭瑶[2] 徐利群[1] 闵燕[1] 

机构地区：[1]南昌大学第一附属医院骨科,南昌330006 [2]南昌大学第一附属医院麻醉复苏室,南昌330006

出　　处：《实用临床医学（江西）》2016年第2期68-69,81,共3页Practical Clinical Medicine

摘　　要：目的探讨专项护理干预对颈椎前路减压植骨融合内固定术(ACDF)患者术后出现吞咽困难的影响。方法选取同一组医师行ACDF的82例患者,根据入院单双号分成2组,其中对照组(43例)采用一般常规护理,研究组(39例)采用一般护理措施结合专项护理干预措施,对比2组患者术后吞咽困难的发生率、持续时间。结果对照组术后出现吞咽困难发生率高于研究组[48.8%(21/43)比28.2%(11/39),χ2=2.84、P=0.045];对照组术后吞咽困难持续时间长于研究组[(6.43±5.1)d比(3.45±3.0)d,t=2.05、P=0.049]。结论专项护理干预可减少颈椎前路减压植骨融合内固定术患者术后吞咽困难的发生率,缩短吞咽困难时间。Objective To explore the effect of special nursing on dysphagia after anterior cervical discectomy and fusion（ACDF）.Methods A total of 82 patients who underwent ACDF were given routine nursing alone（control group,n=43）or in combination with special nursing（study group,n=39）.The incidence and duration of dysphagia were compared between the two groups.Results Compared with the study group,the control group had an increased incidence of dysphagia（48.8%vs 28.2%,χ2=2.84,P=0.045）and a prolonged duration of dysphagia（6.43±5.1）days vs（3.45±3.0）days,t=2.05,P=0.049）.Conclusion Special nursing can reduce the incidence of dysphagia and shorten the duration of dysphagia after ACDF.

关 键 词：颈前路减压植骨融合内固定 吞咽困难 护理 

分 类 号：R473.6[医药卫生—护理学]