58例颈椎前路手术的围术期护理

The perioperative nursing care for 58 patients undergoing the anterior cervical spine surgery.

目的探讨颈椎前路手术治疗颈椎病的围术期护理。方法回顾性分析笔者所在医院2007年3月～2009年10月颈椎前路手术治疗的颈椎病患者58例，其中男42例，女16例，年龄32～78岁，平均59岁。进行术前心理护理及适应性训练；术后做好体位、切口、呼吸道等方面相应的护理措施，采取各种措施预防并发症的发生。结果58例患者临床症状均有明显改善。共出现并发症4例，占6．9％，其中脑脊液漏2例，颈部血肿及肺部感染各1例，这些并发症均因早期发现和及时处理，治愈出院。结论颈椎前路手术是治疗颈椎病的重要手段，积极采取围手术期护理是减少并发症的关键。

Objective To discuss the perioperative nursing care of anterior cervical spine surgery with spondlosis. Methods The clini- cal datas were retrospectively reviewed in a series of 58 patients with spondylosis who underwent the anterior cervical spine surgery between Mar- tch 2007 to October 2009 in our hospital, of these, there were 42 males and 16 females with age from 32 to 78 years（average age 59 years）. Psychological nursing and adaptive training were conducted preoperatively, and corresponding nursing measures （position, wound, respiratory and so on） were carried out postoperatively. We took positive nursing measures to prevent complications. Results A significant improvement were seen in all patients. There were 4 complications associated with surgery, with an incidence of 6.9% , including cerebrospinal fluid leakage in 2 patients, cervical haematoma in 1 patient and pulmonary infection in 1 patient. All complications were cured because of early discovery and immediate treatment. Conclusion Anterior cervical spine surgery is an optimal treatment in patients with cervical spondylosis. Taking positive perioperative nursing measures is the key to reduce complications.