CAJ | 학술논문

目的探讨小儿脊髓栓系综合征(TCS)手术治疗的围手术期护理要点.方法对35例TCS患儿进行手术治疗.术前做好家长心理护理,消除恐惧忧虑;加强患儿俯卧位练习,严格清洁皮肤;术后生命体征监测,保持适当体位,密切观察伤口情况,注意皮肤护理和康复训练.结果 35例患儿术后无压疮发生.经过精心护理.均安全度过围手术期.随访临床症状消失24例,好转3例,无改善7例,临床症状加重1例.结论做好小儿脊髓栓系综合征的围手术期护理,为医生提供术后早期并发症的诊治依据,对患儿治疗康复起到了重要作用.
목적 탐토소인척수전계종합정(TCS)수술치료적위수술기호리요점.방법 대35례TCS환인진행수술치료.술전주호가장심리호리,소제공구우필;가강환인부와위연습,엄격청길피부;술후생명체정감측,보지괄당체위,밀절관찰상구정황,주의피부호리화강복훈련.결과 35례환인술후무압창발생.경과정심호리.균안전도과위수술기.수방림상증상소실24례,호전3례,무개선7례,림상증상가중1례.결론 주호소인척수전계종합정적위수술기호리,위의생제공술후조기병발증적진치의거,대환인치료강복기도료중요작용.
Objective To discuss perioperative nursing of pediatric patients with tethered spinal cord syndrome (TCS). Methods 35 pediatric patients with TCS underwent surgical treatment. Pre-operative nursing included psychological care for the parents to eliminate their fear and worries, prona-tion position practice and clean of skin for the children patients, post- operative care included monitor-ing of vital signs, maintaining of proper positions,close observation of the wound, skin care and rehabili-tation training. Results After intensive care, all cases went through the perioperstive period without bed sores. During follow- up disappearance of clinical symptoms occurred in 24 cases, 3 cases got allevia-tion,7 cases with no improvement, and 1 case with deteriorated clinical symptom. Conclusions Preopera-tive care for patients with tethered cord syndrome can provide doctors with the diagnosis and treatment reference, and it plays an important role in treatment and rehabilitation of children patients.