经皮等离子髓核成形术治疗颈椎间盘突出症35例临床护理

目的探讨经皮等离子髓核成形术的围手术期护理要点。方法通过对35例行经皮等离子髓核成形术的颈椎间盘突出症患者围手术期观察护理,总结经验,找出护理要点。结果35例患者均得到至少6个月的短期随访,JOA疗效评估总有效率95.0%,VAS评分均得到明显改善,无神经根脊髓损伤、食管气管损伤、颈部血肿、切口感染及椎间隙感染等并发症。结论气管推移适应性训练是手术顺利进行的基础;头颈部制动是术后颈椎稳定的关键;心理护理、功能锻练应贯穿于整个护理过程的始终;密切的术后观察和术后颈托固定能够有效防止或减少并发症的发生。

NURSING CARE OF 35 PATIENTS WITH CERVICAL DISC HERNIATION UNDERWENT PERCUTANEOUS NUCLEOPLASTY BY RADIOFREQUENCY

Objective Nursing experiences of patients with cervical disc herniation underwent percutaneous nucleoplasty by radiofrequency were reported. Methods 35 cases with cervical disc herniation confirmed by careful observation and nursing underwent percutaneous nucleoplasty by radiofrequency. Results 35 patients had been follwed-up at least 6 months. The general effective rate of JOA score was 95.0%.No complication occurred. Conclusion Health education was conducted to support patients mentally before operation. Functional exercise was induced properly, rehabilitation plans were performed carefully, and occurrence of complications was prevented positively. All these helped patients to achieve good expected effect.