胸腰椎骨折合并颅脑损伤的加速康复

Accelerated rehabilitation of thoracolumbar fractures complicated with craniocerebral injuries

胸腰椎骨折和重型颅脑损伤是由高处坠落、车祸等原因造成的常见病,两者往往合并发生,具有病情严重、进展迅速、致残率高、病死率高的特征,严重影响患者的生存质量。加速康复外科通过优化围手术期的多种措施达到减少并发症、缩短住院时间、降低医疗费用的效果。目前,对加速康复理念应用于胸腰椎骨折术和颅脑手术的护理研究虽有一定进展,但尚欠完善。本文对加速康复用于胸腰椎骨折合并重型颅脑损伤患者围术期的护理进展进行文献综述,为临床推广应用提供一定参考。

Thoracolumbar fractures complicated with severe craniocerebral injuries are common trauma caused by falling from height,car accidents and other reasons.They often occur together,with the characteristics of serious condition,rapid progress,high disability rate and high mortality,which impact the quality of life of patients seriously.Accelerating rehabilitation surgery achieves the advantages of re⁃ducing complications,shortening hospital stay and reducing medical costs by optimizing the perioperative period.At present,the nursing re⁃searches on accelerated rehabilitation in thoracolumbar fracture complicated with craniocerebral injuries have made some progress,but remain not perfect.This paper reviews the perioperative nursing progress of accelerated rehabilitation for thoracolumbar fractures accompa⁃nied with severe craniocerebral injuries to provide some references for clinical promotion and application.