《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (12): 1123-1125.

• 康复护理 • 上一篇    下一篇

脊柱裂外科手术的护理配合

张兰英;郑红云;魏洁   

  1. 中国康复研究中心北京博爱医院手术室，北京市 100068
  • 收稿日期:2009-08-16 出版日期:2009-12-25 发布日期:2009-12-25

Nursing for Spine Surgery on Spina Bifida

ZHANG Lan-ying,ZHENG Hong-yun,WEI Jie   

  1. Department of Operation Room, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2009-08-16 Published:2009-12-25 Online:2009-12-25

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摘要： 目的 总结脊柱裂及相关疾病外科手术中护理配合的经验。方法 回顾1989年10月～2008年10月本院因脊柱裂及相关疾病接受手术治疗的168例患者，其中男性76例，女性92例，年龄1个月～23岁，平均年龄5.6岁。术后1个月和术后6个月～2年分别进行2次随访。结果 在第2次随访时，肢体神经功能有改善123例，无变化32例，加重13例；排尿功能改善92例，无变化64例，加重12例。有效率73.2%。护理配合的特点是：患者年龄偏小，护士应想法使患者精神放松、配合；术中应细心观察患者的生命体征情况，特别是呼吸道管理、血压监测和失血量计算；手术复杂，从保护神经功能的角度出发，准备好相应的手术器械等；由于采取俯卧位，手术时间长，用海绵垫做好相应负重部位的减压。结论 细心、有针对性的护理配合是保证脊柱裂及相关疾病外科手术成功的重要部分。

关键词: 脊柱裂, 脊柱, 脊髓, 手术, 护理, 配合

Abstract: Objective To report the experience of nursing during operation on spina bifida and related diseases.Methods 168 patients with spina bifida and related diseases undergoing spine surgery in the hospital from October, 1989 to October, 2008 were reported. They were 76 males and 92 females, the averaged age was 5.6 years old (from 1 month to 23 years old). There were two follow-ups one month and 6 months to 2 years after operation. Results According to the second follow-up, the neural function improved in 123 cases, didn't change in 32 cases, and deteriorated in 13 cases. Nursing experience included: carefully observed the patients, especially managed respiratory tract and blood pressure; prepared good conditions for surgon to protect the neural function; sponge cushion for the pressured positions.Conclusion Perfect preparation of nursing can facilitate spine surgery on spina bifida and related diseases.

Key words: spina bifida, spine, spinal cord, surgery, nursing, cooperation