后路综合手术并发脑脊液漏的术后护理1例  

Postoperative nursing in a case of posterior comprehensive surgery complicated by cerebrospinal fluid leakage

作　　者：杨倩欢 徐骅 YANG Qianhuan;XU Hua(Department of Surgery,Guangzhou Haizhu District Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou510020,China;Department of Nursing,Guangzhou Haizhu District Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou510020,China)

机构地区：[1]广州市海珠区中医医院外科,广东广州510020 [2]广州市海珠区中医医院护理部,广东广州510020

出　　处：《中国当代医药》2024年第27期155-158,共4页China Modern Medicine

摘　　要：本文回顾性选取1例行多节段腰椎综合手术的老年2型糖尿病患者,术前血糖及糖化血红蛋白均高于正常值,通过调节饮食等措施把控血糖水平;术后并发脑脊液漏且出现明显伴随症状,经采用头低足高位、调整伤口引流球状态、耳穴压豆神门、内分泌穴位,加强情志护理和饮食指导、术后康复锻炼指导、个性化出院指导、密切交流沟通等护理措施,患者疗效满意,康复出院。本文着重分析术前及术后运用中西医结合的护理过程。患腰部疾病的人数逐年递增,后路腰椎综合手术术后并发脑脊液漏是常见并发症,术前充分做足手术准备,术后密切观察、因人施护非常重要,不仅能够缓解脑脊液漏的不适感,有效减轻患者痛苦,促进患者康复,还可以提高护理质量,提升护理满意度。In this paper,we retrospectively selected an elderly patient with type 2 diabetes who underwent multi-level lumbar comprehensive surgery.Preoperative blood glucose and glycosylated hemoglobin were higher than normal values,and the blood glucose level was controlled by adjusting diet and other measures.Postoperative cerebrospinal fluid leakage and obvious accompanying symptoms,after the use of low head and high feet,adjust the wound drainage ball state,auricular points plaster therapy on Shenmen,Endocrine points,strengthen emotional nursing and diet guidance,postoperative rehabilitation exercise guidance,personalized discharge guidance,close communication and other nursing measures,the patient was discharged satisfactorily.This paper focuses on the preoperative and postoperative nursing process of integrated traditional Chinese and western medicine.The number of people suffering from lumbar diseases is increasing year by year.Cerebrospinal fluid leakage after posterior lumbar comprehensive surgery is a common complication.It is very important to fully prepare for surgery before surgery,and to closely observe and provide care based on person after surgery,which can not only alleviate the discomfort of cerebrospinal fluid leakage,effectively reduce the pain of patients and promote the rehabilitation of patients,but also improve the quality of nursing and enhance nursing satisfaction.

关 键 词：腰椎 综合手术 脑脊液漏 护理 

分 类 号：R687.3[医药卫生—骨科学]