64例胸椎结核围手术期的观察与护理体会

Observationandnursingexperienceof64casesofthoracicvertebraetuberculosisintheperi-operativeperiod

目的探讨经胸入路一期病灶清除椎管减压，椎间植骨及内固定治疗胸椎结核并后凸畸形的疗效及护理。方法收集2000年1月-2010年5月在本院接受经胸入路一期病灶清除椎管减压椎间植骨内固定治疗并获得随访的64例胸椎结核患者的临床资料，发现经过术前采取针对性地心理护理及精心准备，术后密切观察脊髓神经功能的表现，认真做好营养支持及床上功能锻炼，所有患者均痊愈出院。结果术中无脊髓神经及大血管受损，35例术前有神经功能障碍者，术后有21例获得21级以上的恢复，无一例发生伤口感染及压疮。结论认真做好术前准备及术后护理，是手术成功、患者康复的重要保证。

Objective To explore the effect and care in patients with thoracic spinal tuberculosis and kyphosis by spinal canal decompression, bone graft, internal fixation procedure. Methods There were 64 patients with thoracic spinal tuborculosis who were treated by spinal canal decompression and internal fixation procedure in Wuhan Medical Treatment centre from January 2000 to May 2010. From follow-up data of these patients ,we found all of patients were healed by psychological nursing before operations. Observation of spinal cord function, nutritional support and functional exercise. Results There is no spinal cord injuries and blood vessels damage in operations. 21 patients with dysneuria are cured after operations. No patient has surgical wound infection and pressure sore. Conclusion Nursing intervention before and after operation is very impossible for successful operations.