摘要
报告了12例重度特发性脊柱侧凸患者矫形术前施行头颅-骨盆环牵引的护理。对患者实施呼吸护理、牵引架护理,注意观察牵引并发症并采取防治措施。本组1例出现臂丛神经短暂损伤,4例出现肠系膜上动脉综合征。经过14-21d(平均18d)牵引治疗和护理,牵引后Cobb角矫正率为35%-50%,最大肺活量在原来基础上增加了25%,12例均按时施行畸形矫正术。通过临床实践,认为重度特发性脊柱侧凸患者安装头颅-骨盆环牵引可以离床活动,功能训练自如,痛苦减轻,心理负担少,生活质量大大提高,并可带架施行矫形手术,提高手术安全性。
This paper reports the nursing care of 12 patients with idiopathic scoliosis treated with halo-pelvic traction preoperatively which focused on breathing training,traction frame management. One patient suffered from temporary brachial plexus injury and four cases suffered fronl superior mesenteric artery syndrome. With 14-21 day＇s traction and nursing care, the correction rate of Cobb angle was 35%-50%,the forced vital capacity was improved by 25%,and all the patients received orthomorphia surgery in time. It is suggested that the patients with severe idiopathic scoliosis treated by halo-pelvic traction could take out-of-bed activity freely. It could not only relieve pain and reduce mental pressure,but also improve the safety of orthomorphia surgery.
出处
《中华护理杂志》
CSCD
北大核心
2010年第1期21-23,共3页
Chinese Journal of Nursing
关键词
脊柱侧凸
牵引术
护理
Scoliosis
Traction
Nursing Care
