CAJ | 학술논문

目的分析颈椎损伤患者神经功能恶化的风险,探讨护理对策.方法收集2005年5月至2011年12月收治的362例急性颈椎损伤患者资料,对其中5例发生严重神经功能恶化患者的受伤机制、临床表现及影像学资料进行分析.结果严重颈椎骨折、脱位,既往有强直性脊柱炎、椎管狭窄者是发生神经功能恶化的高危人群.结论根据评估的结果采取颈部制动、定时翻身、适宜的卧位和颈部姿势,可有效地规避颈椎损伤患者神经功能恶化的风险.
목적 분석경추손상환자신경공능악화적풍험,탐토호리대책.방법 수집2005년5월지2011년12월수치적362례급성경추손상환자자료,대기중5례발생엄중신경공능악화환자적수상궤제、림상표현급영상학자료진행분석.결과 엄중경추골절、탈위,기왕유강직성척주염、추관협착자시발생신경공능악화적고위인군.결론 근거평고적결과채취경부제동、정시번신、괄의적와위화경부자세,가유효지규피경추손상환자신경공능악화적풍험.
Objective To analyze the risk of neurological deterioration of patients with cervical spine injury in order to explore nursing strategy.Methods A retrospective survey was done for 362 patients with acute cervical spine injury admitted to our hospital from May 2005 to December 2011,of which five patients with severe neurological deterioration were analyzed in mechanism of injury,clinical manifestations and imaging data.Results Severe cervical fracture dislocation,a history of ankylosing spondylitis or spinal stenosis were high-risk groups of neurological deterioration.Conclusions The nurse should first assess the stability of the cervical spine and nerve function,then provide care in cervical patients such as turning around from the back and so on.According to the results of the assessment,neck brake,choosing suitable neck posture and regular turning can effectively avoid the risk of neurological deterioration.