中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
13期
175-177
,共3页
哈罗架%治疗%颈椎骨折脱位%护理%并发症
哈囉架%治療%頸椎骨摺脫位%護理%併髮癥
합라가%치료%경추골절탈위%호리%병발증
Halo-vest%Treatment%Cervical fracture and dislocation%Nursing%Complication
目的：探讨全面护理在颈3以上颈椎骨折脱位患者中的应用效果。方法选取2010年1月~2011年11月本院收治的60例颈3以上颈椎骨折脱位患者作为研究对象，随机分为观察组和对照组，各30例。所有患者均给予哈罗架治疗，其中对照组给予常规护理，观察组给予全面护理。比较两组的近期并发症发生率及预后情况。结果观察组的近期并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。观察组经固定后均能坐起，脊髓损伤均得到不同程度改善，均骨性愈合，且无感染、吞咽困难、神经损伤等并发症；早期3例颅钉松动患者反复固定，2例背部压疮患者进行清洁换药、加强护理，2例腹胀患者改善饮食后，病情均得到改善。对照组经固定后能够坐起，骨性愈合良好；随访过程中2例出现吞咽困难，均由术后护理不当引起，给予地塞米松治疗后症状明显改善；早期5例颅钉松动、1例进钉点感染、4例背部压疮、3例腹胀、1例神经损伤均得到有效处理。结论全面护理在颈3以上颈椎骨折脱位患者中的应用效果显著，能够有效降低并发症发生率，值得临床推广应用。
目的：探討全麵護理在頸3以上頸椎骨摺脫位患者中的應用效果。方法選取2010年1月~2011年11月本院收治的60例頸3以上頸椎骨摺脫位患者作為研究對象，隨機分為觀察組和對照組，各30例。所有患者均給予哈囉架治療，其中對照組給予常規護理，觀察組給予全麵護理。比較兩組的近期併髮癥髮生率及預後情況。結果觀察組的近期併髮癥髮生率顯著低于對照組，差異有統計學意義(P<0.05)。觀察組經固定後均能坐起，脊髓損傷均得到不同程度改善，均骨性愈閤，且無感染、吞嚥睏難、神經損傷等併髮癥；早期3例顱釘鬆動患者反複固定，2例揹部壓瘡患者進行清潔換藥、加彊護理，2例腹脹患者改善飲食後，病情均得到改善。對照組經固定後能夠坐起，骨性愈閤良好；隨訪過程中2例齣現吞嚥睏難，均由術後護理不噹引起，給予地塞米鬆治療後癥狀明顯改善；早期5例顱釘鬆動、1例進釘點感染、4例揹部壓瘡、3例腹脹、1例神經損傷均得到有效處理。結論全麵護理在頸3以上頸椎骨摺脫位患者中的應用效果顯著，能夠有效降低併髮癥髮生率，值得臨床推廣應用。
목적：탐토전면호리재경3이상경추골절탈위환자중적응용효과。방법선취2010년1월~2011년11월본원수치적60례경3이상경추골절탈위환자작위연구대상，수궤분위관찰조화대조조，각30례。소유환자균급여합라가치료，기중대조조급여상규호리，관찰조급여전면호리。비교량조적근기병발증발생솔급예후정황。결과관찰조적근기병발증발생솔현저저우대조조，차이유통계학의의(P<0.05)。관찰조경고정후균능좌기，척수손상균득도불동정도개선，균골성유합，차무감염、탄인곤난、신경손상등병발증；조기3례로정송동환자반복고정，2례배부압창환자진행청길환약、가강호리，2례복창환자개선음식후，병정균득도개선。대조조경고정후능구좌기，골성유합량호；수방과정중2례출현탄인곤난，균유술후호리불당인기，급여지새미송치료후증상명현개선；조기5례로정송동、1례진정점감염、4례배부압창、3례복창、1례신경손상균득도유효처리。결론전면호리재경3이상경추골절탈위환자중적응용효과현저，능구유효강저병발증발생솔，치득림상추엄응용。
Objective To explore the application effect of comprehensive nursing on patients with cervical fracture and dislocation of C3. Methods 60 patients with cervical fracture and dislocation of C3 in our hospital from January 2010 to November 2011 were selected and randomly divided into the observation group and the control group,30 cases in each group. All patients were given the treatment of Halo-vest.The control group was given conventional nursing,the obser-vation group was given comprehensive nursing.The incidence rate of recent complication and prognosis in two groups was compared. Results The incidence rate of recent complication in the observation group was lower than that in the control group,with significant difference(P<0.05).The patients in the observation group were able to sit up after fixation, and spinal cord injury improved in different degrees,there were bone healing and no complication of infection,dysphagia and nerve injury.During early stages,3 patients with screw loosening were given repeated fixation,2 patients with back pressure sores were given dressing-changing and intense nursing,and 2 patients with abdominal distention were given improvement of diet,the disease conditions was improved.The patients in the control group were able to sit up after fix-ation,and the bone healing was favorable.During the follow-up,there were 2 patients with dysphagia,which was induced by inappropriate nursing after surgery,and the symptoms improved significantly by given dexamethasone.During early stages,5 patients with screw loosening,1 patient with screw entering point infection,4 patients with back pressure sores,3 patients with abdominal distention and 1 patient with nerve injury were all managed effectively. Conclusion The appli-cation effect of comprehensive nursing on patients with cervical fracture and dislocation of C3 is significant,which can reduce the incidence rate of complication,it is worthy of clinical promotion and application.
