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老年胸腰段脊柱后凸畸形截骨矫形术患者的护理
引用本文:李巧平,包凌燕,王健菲,黄文君,吴丽仙.老年胸腰段脊柱后凸畸形截骨矫形术患者的护理[J].解放军护理杂志,2014(24):44-46.
作者姓名:李巧平  包凌燕  王健菲  黄文君  吴丽仙
作者单位:1. 温州医科大学附属第五医院暨丽水市中心医院 骨科,浙江 丽水,323000
2. 温州医科大学附属第五医院暨丽水市中心医院 护理部
摘    要:目的探讨老年胸腰段脊柱后凸畸形截骨矫形术患者的护理方法。方法回顾性分析2010年1月至2013年1月在丽水市中心医院骨科治疗的脊柱后凸畸形的40例老年患者的临床资料。所有患者术前均进行优化健康教育、肺功能训练、胃肠道准备,术后均予以严密的病情观察、充分有效镇痛、早期功能锻炼。结果患者中有1例患者发生肠系膜上动脉综合征,1例患者发生胸腔积液、1例患者发生精神障碍。结论优化护理是保证患者能顺利完成手术的关键,严密的术后护理可减少术后并发症,患者功能恢复好。

关 键 词:脊柱后凸畸形  优化护理措施  老年  截骨矫形术

Nursing of Elderly Patients with Thoracolumbar Spine Kyphoscoliosis Undergoing Osteotony
Li Qiaoping,Bao Lingyan,Wang Jianfei,Huang Wenjun,Wu Lixian.Nursing of Elderly Patients with Thoracolumbar Spine Kyphoscoliosis Undergoing Osteotony[J].Nursing Journal of Chinese People's Liberation Army,2014(24):44-46.
Authors:Li Qiaoping  Bao Lingyan  Wang Jianfei  Huang Wenjun  Wu Lixian
Institution:Li Qiaoping,Bao Lingyan,Wang Jianfei,Huang Wenjun,Wu Lixian(1.Department of College, Lishui 323000, Zhejiang Orthopedics, 5th Province, China ; 2.Department of Nursing,Sth Lishui Central Hospital Affiliated to Wenzhou Medical College)
Abstract:Objective To investigate the nursing method of elderly patients with thoracolumbar spine kyphoscoliosis undergoing osteotony.Methods Clinical data of 40 elderly patients with thoracolumbar spine kyphoscoliosis were analyzed retrospectively.All patients were had optimal health education,pulmo-nary function training,gastrointestinal preparations before surgery,and close observation,full and effective analgesia,early function exercises after surgery.Results Postoperative complications include 1 case of superior mesenteric artery syndrome,1 case of pleural effusion,and 1 case of mental disorders.Conclusion Optimal nursing is the key to ensure the sucessful operation,and colsed postoperative nursing can reduce the postoperative complication.
Keywords:spine kyphoscoliosis  optimal nursing intervention  elderly  osteotomy
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