[1]郝庆英 刘楚吟 付婵娟 张晓华 谭明生△.经口咽松解后路椎弓根钉治疗寰枢椎脱位的围手术期护理[J].中国中医骨伤科杂志,2015,23(05):34-36.
　HAO Qingying LIU Chuyin FU Chanjuan Zhang Xiaohua Tan Mingsheng.Perioperative Nursing of Atlantoaxial Dislocation Undergoing Treatment with Transoral Release and Posterior Pedicle Screw[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(05):34-36.
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经口咽松解后路椎弓根钉治疗寰枢椎脱位的围手术期护理
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年05期
页码:
34-36
栏目:
临床研究
出版日期:
2015-05-15

文章信息/Info

Title:
Perioperative Nursing of Atlantoaxial Dislocation Undergoing Treatment with Transoral Release and Posterior Pedicle Screw
文章编号:
1005-0205(2015)05-0034-03
作者:
郝庆英1 刘楚吟1 付婵娟1 张晓华1 谭明生1△

1.中日友好医院(北京,100029)
△.通讯作者 E-mail:zrtms@sina.com
Author(s):
HAO Qingying1 LIU Chuyin1 FU Chanjuan1 Zhang Xiaohua1 Tan Mingsheng1

1.Department of Spine Surgery, China-Japan Friendship Hospital, Beijing 100029, China
关键词:
寰枢椎脱位;  围手术期护理;  椎弓根螺钉
Keywords:
atlantoaxial joint dislocations;  perioperative nursing;  pedicle screw
分类号:
R473.6
文献标志码:
A
摘要:
目的:探讨经口咽松解后路椎弓根钉治疗O型(Operation Reduction Type)寰枢椎脱位的围手术期护理。方法:对68例患者进行术前心理护理,安全宣教,口腔准备,非语言交流训练和呼吸功能练习。术后严密观察生命体征,采取特殊方法进行口腔护理,呼吸道护理,鼻饲管及饮食护理,注意预防切口和肺部感染等并发症。结果:68例病人术后寰枢椎复位固定融合良好,未见切口感染病例,神经功能均获不同程度恢复,未发生护理并发症。结论:经口咽入路行寰枢椎松解及后路椎弓根螺钉内固定手术的医疗和护理风险很大,严格落实规范的围手术期护理措施是提高临床疗效,减少手术并发症的重要保证。
Abstract:
Objective: To investigate perioperative nursing of atlantoaxial dislocation undergoing treatment with transoral release and posterior pedicle screw. Methods: All 68 atlantoaxial dislocation patients received psychological nursing, safe education, oral preparation, nonverbal communication training and respiratory function training before surgery. And they were received strict observation on vital signs, special oral nursing, respiratory tract nursing, wearing nasal feeding tube and diet nursing after surgery. We also paid attention to avoid incision and lung infection and other complications. Results: All the patients showed good stability of fusion, and the nerve function was recovered in different degree after surgery, without incision infection and nursing complications. Conclusion: The risk rate of transoral release and posterior pedicle screw fixation method is high. Making strict perioperative nursing could improve clinical effect and reduce complications.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2014-09-06
基金项目:北京市科技计划首都特色专项支持(2014-13KJ-012)
更新日期/Last Update: 2015-05-15