8例前路颈椎间盘摘除后颈椎动态稳定器植入术的围手术期护理

Perioperative nursing of 8 patients with dynamic cervical implant after anterior cervical discectomy

总结了8例经颈前路椎间盘摘除颈椎动态稳定器(dynamic cervical implant,DCI)植入术的围手术期护理措施。术前完善各项影像学检查,做好仰卧位训练、呼吸功能锻炼和气管推移训练;术后做好呼吸道管理及并发症的观察,早期进行功能康复指导,注意保障患者安全。本组术后神经功能均有明显改善,随访时日本骨科学会脊髓功能评分平均分由术前12.1分上升至15.8分。

This paper summarizes the perioperative nursing of 8 patients with dynamic cervical implant（DCI） after anterior cervical discectomy. The key points in nursing were preoperative imaging examinations,supine position training,breathing exercise and tracheal shift training,as well as postoperative airway management,observation of complications,early functional exercise guidance and patient safety management. All patients showed improvement in neural functions after operation without compli- cations. The JOA score of spinal function increased from 12.1 to 15.8.