CAJ | 학술논문

报告了12例重度特发性脊柱侧凸患者矫形术前施行头颅-骨盆环牵引的护理.对患者实施呼吸护理、牵引架护理,注意观察牵引并发症并采取防治措施.本组1例出现臂丛神经短暂损伤,4例出现肠系膜上动脉综合征.经过14-21d(平均18d)牵引治疗和护理,牵引后Cobb角矫正率为35%-50%,最大肺活量在原来基础上增加了25%,12例均按时施行畸形矫正术.通过临床实践,认为重度特发性脊柱侧凸患者安装头颅-骨盆环牵引可以离床活动,功能训练自如,痛苦减轻,心理负担少,生活质量大大提高,并可带架施行矫形手术,提高手术安全性.
보고료12례중도특발성척주측철환자교형술전시행두로-골분배견인적호리.대환자실시호흡호리、견인가호리,주의관찰견인병발증병채취방치조시.본조1례출현비총신경단잠손상,4례출현장계막상동맥종합정.경과14-21d(평균18d)견인치료화호리,견인후Cobb각교정솔위35%-50%,최대폐활량재원래기출상증가료25%,12례균안시시행기형교정술.통과림상실천,인위중도특발성척주측철환자안장두로-골분배견인가이리상활동,공능훈련자여,통고감경,심리부담소,생활질량대대제고,병가대가시행교형수술,제고수술안전성.
This paper reports the nursing care of 12 patients with idiopathic scoliosis treated with halo-pelvic traction preoperatively which focused on breathing training, traction frame management. One patient suffered from temporary brachial plexus injury and four cases suffered from superior mesenteric artery syndrome. With 14-21 day's traction and nursing care, the correction rate of Cobb angle was 35%-50%,the forced vital capacity was improved by 25%,and all the patients received orthomorphia surgery in time. It is suggested that the patients with severe idiopathic scoliosis treated by halo-pelvic traction could take out-of-bed activity freely. It could not only relieve pain and reduce mental pressure, but also improve the safety of orthomorphia surgery.