自体骨移植颞颌关节重建术的护理

Nursing for Reconstruction of the Temporomandibular Joint with Autogenous Bone Graft

总结了对15例实施自体骨移植颞颌关节重建术患者的护理体会，认为围手术期的心理护理对于使患者保持良好的心理状态，促进其病情的顺利恢复具有重要意义；术前的口腔护理和皮肤准备是预防伤口感染、保证移植骨成活和伤口愈合的前提；术后局部伤口的观察与护理是关系到移植骨能否成活的关键；早期和长期有效的功能锻炼对于颞颌关节功能的改善具有积极意义。

The author summarizes their experience in nursing 15 patients who underwent reconstruction of the temporomandibular joint with autogenous bone graft. Peri-operative psychological care is of significance in helping the patients maintain a good mental state and smooth recovery; pre-operative oral nursing and skin preparation are the prerequisite conditions for the survival of the graft and the prevention of wound infection; post-operative observation and care of the local wound are the determinant factors for survival of the graft; early and persistent functional training is positive for improving the function of the temporomandibular joint.