4例儿童臂丛神经损伤健侧C_7椎体前移位直接修复术的护理

Perioperative nursing of 4 children receiving contralateral healthy cervical seventh nerve root transfer for brachial plexus injury

总结了4例儿童臂丛神经损伤健侧C7椎体前移位直接修复术围手术期的护理体会。术前通过心理护理、预防再损伤及功能锻炼、疼痛护理及术前体位训练等,患者情绪稳定,患者及家属对患者的伤残接受程度提高,患肢未出现再损伤。术后做好体位护理、病情观察、功能锻炼及出院指导,患儿术后康复过程顺利,切口Ⅰ级愈合,能够配合进行功能锻炼。

This paper summarizes the experience of perioperative nursing for 4 children receiving contralateral healthy cervical seventh nerve root transfer for brachial plexus injury.Before the operation,nursing care focused on psychological nursing,prevention from re-injury,functional training,pain management and posture training.The children and parents could face up the state of injury and keep calm in mood,and no re-injury occurred.The postoperative care included posture care,disease observation,functional training and discharge instruction.As a result,the children had a smooth recovery period after the operation.They could cooperate with physical therapy and the wounds healed well.