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单雪丽,梁静娟.Mobi-C人工颈椎间盘假体置换术患者的护理[J].上海护理,2014,14(8):
Mobi-C人工颈椎间盘假体置换术患者的护理
Perioperative nursing care of 14 cases in artificial cervical disc replacement surgery
DOI：
中文关键词:  颈椎病  椎间盘置换  护理
英文关键词:Cervical spondylopathy  Artificial cervical disc replacement  Nursing
基金项目:无
作者单位E-mail
单雪丽 上海市复旦大学附属华山医院 498712114@qq.com 
梁静娟* 上海市复旦大学附属华山医院 498712114@qq.com 
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中文摘要:
      【】目的：探讨人工颈椎间盘置换术围术期护理要点。方法：14例颈椎退行性疾病患者,均行经前路椎间盘切除减压、Mobi-C人工颈椎间盘假体置换术,采用颈椎JOA评分评价患者生活质量。术前给予心理指导、入院时进行全面评估、指导患者进行深呼吸咳嗽训练、教会患者颈托的佩戴方法、讲解疼痛评估数字分级法的内容及方法。术后做好体位安置、疼痛护理、导管护理、预防早期并发症的发生、给予康复锻炼等护理措施。结果：所有患者术后切口均Ⅰ期愈合,颈椎JOA评分由术前7～12分上升至术后13～16分。入院后患者疼痛评估数字分级法(NRS)评分由术前颈肩部或肢体疼痛2～3分下降至0分。临床症状缓解,脊髓功能改善。结论：加强人工颈椎间盘置换术围术期护理是保证获得和维持良好治疗效果的有利措施和重要因素。
英文摘要:
      Objective: To explore the perioperative nursing points in the artificial cervical disc replacement surgery. Methods: The comprehensive nursing care was applied to 14 patients who underwent artificial cervical disc replacement surgery, such as depression of discectomy, prosthetic replacement of Mobi-C artificial disc, evaluation of JOA, psychological direction, thorough evaluation, deep breath cough training, how to use cervic, to explain the method of pain assessment of digital, body position after operation, pain nursing, catheter care, prevention of early complications, rehabilitation exercise. Results: operative incision of patients were primary healing, the JOA score from preoperative to postoperative was 7-12 and 13-16, the NRS was dropped from 2-3 to 0, clinical symptom remission, spinal cord function was improved. Conclusion: The intensive nursing of artificial cervical disc replacement surgery is play a very important role in guaranteeing and maintaining treatment effect.
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主管单位：上海市卫生健康委员会   主办单位：上海市护理学会  出版：《上海护理》编辑部
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