CAJ | 학술논문

目的总结康复护理对颈椎前路减压植骨融合术预后的影响.方法分析2008年1月至2010年12月我科收治的42例颈椎前路减压植骨融合术患者,术前重点施行戒烟宣教,心理护理,气管移位训练,体位训练,呼吸功能训练;术后做好病情观察,颈部血肿、四肢感觉及运动的观察,正确体位护理,保持呼吸道通畅,头颈部有效制动,康复训练及出院指导,术后定期随访.结果随访3～6个月,椎间植骨均达骨性融合,无钢板、螺钉松动,植骨块松动移位和塌陷发生,临床症状明显改善,改善总有效率达97%.
목적 총결강복호리대경추전로감압식골융합술예후적영향.방법 분석2008년1월지2010년12월아과수치적42례경추전로감압식골융합술환자,술전중점시행계연선교,심리호리,기관이위훈련,체위훈련,호흡공능훈련;술후주호병정관찰,경부혈종、사지감각급운동적관찰,정학체위호리,보지호흡도통창,두경부유효제동,강복훈련급출원지도,술후정기수방.결과 수방3～6개월,추간식골균체골성융합,무강판、라정송동,식골괴송동이위화탑함발생,림상증상명현개선,개선총유효솔체97%.
Objective To discuss the effects of early rehabilitation nursing to the patients who suffered the anterior spinal decompression and spinal fusion .Methods Analyse 42 cases in our hospital during JAN 2008 to DEC 2010, who suffered the anterior spinal decompression and spinal fusion, before the operation, we persuade them to give up smoking and give them guidances on psychology, trachea displacement, postures training and respiratory. After the operation, we observe the conditions, such as:the neck hematoma, the feelings and movements of arms and legs. Even giving them the recovery training and guidances when leaving the hospital. Results In the following-up visit of 3 ～ 6 months, we found that:Between vertebra hone graft reach osseous fusion; No steel screw loose; No Grafts loose shift and collapse occurred. The clinical symptoms improve, the effective rate reach 97% All the patients recover during the first period, without any complications. Conclusion A scientific and standardized nursing, is good to enhance the curative effect and reducing complications. the psychological guidance and the tracheal displacement before the operation is also very important. After the operation close observation, the prevention of the complication and the recovery training are crucial on recovery.