37例颈椎间盘突出症患者行颈椎动态稳定器治疗的康复护理

Rehabilitation nursing of 37 patients with dynamic cervical implant for the treatment of cervical disc herniation

总结了37例颈椎动态稳定器治疗颈椎间盘突出症患者围手术期的康复护理。认为围手期胸锁乳突肌和斜方肌的等长等张收缩训练可增强颈背部肌肉力量,保持颈椎的稳定性,恢复及增进颈椎的活动范围。本组患者术后不用佩戴颈托即可早期训练,平均随访14个月,根据日本骨科学会评分标准,本组改善率均为优良,颈椎僵硬感较传统融合手术轻。

This paper summarizes the rehabilitation nursing of 37 patients with dynamic cervical implant（DCI） for the treatment of cervical disc herniation. Perioperative sternocleidomastoid and trapezius muscles isometric contraction exercises could enhance the neck or back muscle strength,maintain cervical stability,restore and enhance the range of motion of the cervical spine. The patients could participate in early .training without neck collars. The JOA score increased significantly at 14 months after operation and the cervical rigid sense was lower than traditional fusion surgery.