个性化设计经椎弓根钉板内固定治疗颈椎疾患的临床护理

Nursing experience for patients underwent individualized pedicle screw-plate fixation

目的：探讨如何提高颈椎疾患术后护理质量,减少护理并发症的发生。方法：收集1999年10月2009年1月需行颈椎椎弓根固定的患者566例,随机分为观察组与对照组,每组各283例,观察组采用个性化治疗方案,对照组应用传统方法治疗护理,对比其护理效果。结果：观察组患者术后并发症及预后结果明显优于对照组（P〈0.05）,观察组降低了术后护理难度,有效预防并发症的发生,提高了护理质量。结论：个性化设计置钉的高成功率,减少了卧床时间,大大降低了护理难度,从而有效预防了并发症的发生。

Objective： To discuss how to improve the nursing quality of patients with cervical in order to reduce complications.Methods： A total of 566 patients that scheduled for cervical pedicle screw fixation during October 1999 and January 2009 were randomly divided into observation group and the control group with 283 cases in each.The observation group was treated with individualized treatment,while the control group was given conventional treatment and nursing.The nursing quality was compared between the two groups. Results.. The observation group showed better outcomes regarding to postoperative complications and prognosis （P〈0.05）. The individualized pedicle screw-plate fixation reduced difficulties in nursing, prevented complications and improved the nursing quality. Conclusion. The individualized pedicle screw-plate fixation can improve success rate of the surgery and reduce bed-bound period of the patient, thus it can improve the nursing quality.