期刊文献+

新型加压绷带在腰椎术后脑脊液漏病人中的临床应用 被引量:2

Application of A New Compression Bandage in Patients with Cerebrospinal Fluid Leakage after Lumbar Surgery
下载PDF
导出
摘要 目的探讨自行设计的新型加压绷带在腰椎术后脑脊液漏病人中的临床应用。方法选取2021年4月至2022年4月我科腰椎术后脑脊液漏病人42例,应用随机数字表法分为观察组和对照组,每组21例。观察组脑脊液漏病人使用自行设计的新型加压绷带加压包扎治疗,对照组使用普通腹带加压包扎治疗。观察两组病人加压包扎护理耗时、引流管留置时间和加压包扎处的皮肤情况。结果观察组加压包扎护理耗时和引流管留置时间均较对照组明显缩短[(1.12±0.24)分vs.(6.74±1.43)分;(5.09±1.12)d vs.(7.18±1.16)d],差异均有统计学意义(P<0.001)。观察组加压包扎处皮肤无异常;对照组发生皮肤异常9例(42.86%),其中红肿4例、水疱1例、破皮4例。结论新型加压绷带有助于提高加压包扎的护理效果,缩短加压包扎护理耗时和引流管留置的时间,明显改善病人加压包扎处的皮肤状况,极大地降低了护理不良事件的发生,促进了病人术后的康复。 Objective To explore the clinical application of a new compression bandage designed and made by ourselves.Methods A total of 42 patients with cerebrospinal fluid leakage after lumbar surgery treated in our spine center from April 2021 to April 2022 were selected.They were divided into an observation group and a control group using a random number table method,with 21 cases in each group.The patients with cerebrospinal fluid leakage in the observation group were treated with self⁃designed compression bandage,while the control group was treated with common abdominal band.The nursing bandage time,drainage tube retention time,and the local skin condition of patients were observed.Results The observation group showed significantly shorter nursing bandage time and drainage tube retention time than the control group[(1.12±0.24)points vs.(6.74±1.43)points;(5.09±1.12)d vs.(7.18±1.16)d](P<0.001).The observation group showed no abnormalities in the skin.There were 9 cases(42.86%)of skin abnormalities in the control group,including 4 cases of redness and swelling,1 case of blister,and 4 cases of skin rupture.Conclusion The new compression bandage helps improve the nursing effect of compression bandage,shorten the nursing time of compression bandage and drainage tube retention time,significantly improve the skin condition of patients,greatly reduce the occurrence of nursing adverse events,and promote postoperative recovery of patients.
作者 徐咏连 詹雪 吴明珑 刘洪娟 陈媛 XU Yonglian;ZHAN Xue;WU Minglong;LIU Hongjuan;CHEN Yuan(Department of Orthopaedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处 《骨科》 CAS 2024年第1期68-70,共3页 ORTHOPAEDICS
关键词 新型加压绷带 腰椎手术 脑脊液漏 加压包扎带 New pressure bandage Lumbar surgery Cerebrospinal fluid leakage Pressure bandage
  • 相关文献

参考文献5

二级参考文献49

  • 1曲志峰,曲艳春,陈文理,温志强,肖惠.脑脊液置换联合万古霉素与地塞米松鞘内注射对术后颅内感染的临床研究[J].中国生化药物杂志,2014,34(2):83-85. 被引量:7
  • 2时忠华,蔡学见,王玉海,陈铮立,董吉荣,刘斌,徐勤谊,蔡桑.颅内细菌感染的诊治[J].中华医院感染学杂志,2005,15(12):1366-1368. 被引量:32
  • 3许蕊凤,季杰,李桂芳,寇智峰.俯卧位用于胸椎黄韧带骨化症术后并发脑脊液漏的护理[J].中华护理杂志,2006,41(1):95-95. 被引量:31
  • 4鲁秀平,严晓云,李卫平,焦春连.脊柱后路再手术并发硬脊膜损伤及脑脊液漏的护理[J].护理学杂志(外科版),2007,22(10):18-19. 被引量:16
  • 5Fu KM,Smith JS,Polly D J,et al.Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis[J].J Neurosurg Spine,2010,12(5):443-446.
  • 6Takahashi Y,Sato T,Hyodo H,et al.Incidental durotomy during lumbar spine surgery:risk factors and anatomic locations:clinical article[J].J Neurosurg Spine,2013,18(2):165-169.
  • 7Tafazal SI,Sell PJ.Incidental durotomy in lumbar spine surgery:incidence and management[J].Eur Spine J,2005,14 (3):287-290.
  • 8Wang JC,Bohlman HH,Riew KD.Dural tears secondary to operations on the lumbar spine:management and results after a two-year-minimum follow-up of eighty-eight patients[J].J Bone Joint Surg Am,1998,80(12):1728-1732.
  • 9Sin AH,Caldito G,Smith D,et al.Predictive factors for dural tear and cerebrospinal fluid leakage in patients undergoing lumbar surgery[J].J Neurosurg Spine,2006,5(3):224-227.
  • 10Khan MH,Rihn J,Steele G,et al.Postoperative management protocol for incidental dural tears during degenerative lumbar spine surgery:a review of 3183 consecutive degenerative lumbar cases[J].Spine,2006,31(22):2609-2613.

共引文献65

同被引文献30

引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部