体位干预对颈髓损伤早期并发症的影响

目的 探讨颈髓损伤患者护理中的最佳翻身体位,减少早期并发症的发生,提高治疗效果。方法 将54例颈髓损伤患者随机分为两组。对照组26例采取90°侧卧位与仰卧位交替的常规翻身方法,干预组28例采取仰卧位身体向左、向右倾斜15~30°与仰卧位交替的方法进行翻身。结果 干预组呼吸困难、低位性低血压、压疮发生率明显低于对照组(P＜0.01)。结论 颈髓损伤患者采取仰卧位身体向左、向右倾斜15～30°与仰卧位交替的方法翻身,能有效降低呼吸困难、体位性低血压等并发症的发生率。

The effect of postural intervention on the complications of early cervical spinal cord injury

Objective To investigate the best position to turn over for the cervical spinal cord injury patients with pressure sore, to reduce the occurrence of early complications and improve the therapeutic effects . Methods 54 cases of cervical spinal cord injury were randomly divided into two groups, control group （n 26） and intervention group （n=28）. The control group took 90° lateral position with the supine position to turn over, and the intervention group took supine body with the left or right supine position 15-30° tilt alternately to turn over. Result The incidence of dyspnea, hypotension in low positon and pressure sore in intervention group were significantly lower than that in control group （P〈0.01）. Conclusion The method that cervical spinal cord injury patients take supine position with the body 15-30°tihing to the left or right alternately to turn over, can reduce the occurrence of dyspnea, orthostatie hypotension and other complications.