长期卧床在复杂脊柱矫形手术后的疗效分析及其护理对策

Efficacy analysis and nursing countermeasures for bedridden patients after complicated spinal orthopedic surgery

目的研究长期卧床在复杂脊柱矫形手术后对患者临床和影像学表现的疗效,并对出现的并发症建立护理对策。方法选择11例复杂脊柱矫形术后患者,连续卧床2月以上,并进行出院后随访。记录患者手术前后疼痛、脊柱功能、影像学等变化,作统计学分析比较。结果所有患者术后功能恢复良好,无器械变形滑脱、脊柱再移位等并发症发生。加强护理后均未出现肺炎、深静脉血栓、压疮等并发症。1例出现骨质延迟愈合,1例出现尿脓毒血症。手术后疼痛较术前减轻,差异有统计学意义。结论复杂脊柱矫形术后,长期卧床可有效防止因过早活动引起的损伤,加强护理后无明显并发症出现。

Objective To study the efficacy of the bedridden state on the clinical and ima- geology manifestations of the patients with complicated spinal orthopedics surgery and formulate nursing countermeasures for the possible complications. Methods Eleven bedridden patients over 2 months after complicated spinal orthopedic surgery were selected and followed up when they were discharged. The changes of preoperative and postoperative pain, spinal function and spinal imageolo- gy were recorded for statistical analysis and comparison. Results All the patients＇ postoperative functions recovered well, and nobody had complications such as medical devices deformation and slippage and spinal shifting. No patient had pneumonia, deep venous thrombosis and pressure ulcer after nursing reinforcement. Only two patients had complications, one had delayed healing of scle- rotin, and the other had uropyemia. The pain in postoperative period was less than the preoperative period, and difference was statistically significant. Conclusion After complicated spinal orthopedic surgery, the bedridden state can effectively prevent the impairment due to the early activity, and no complications are detected after nursing reinforcement.