小儿脊髓栓系综合征的围手术期护理

目的探讨小儿脊髓栓系综合征（TCS）手术治疗的围手术期护理要点。方法对35例TCS患儿进行手术治疗。术前做好家长心理护理，消除恐惧忧虑；加强患儿俯卧位练习，严格清洁皮肤；术后生命体征监测，保持适当体位，密切观察伤口情况，注意皮肤护理和康复训练。结果35例患儿术后无压疮发生。经过精心护理，均安全度过围手术期。随访临床症状消失24例，好转3例，无改善7例，临床症状加重1例。结论做好小儿脊髓栓系综合征的围手术期护理，为医生提供术后早期并发症的诊治依据，对患儿治疗康复起到了重要作用。

Perioperative care of pediatric patients with tethered cord syndrome

Objective To discuss perioperative nursing of pediatric patients with tethered spinal cord syndrome （TCS）. Methods 35 pediatric patients with TCS underwent surgical treatment. Preoperative nursing included psychological care for the parents to eliminate their fear and worries, pronation position practice and clean of skin for the children patients, post- operative care included monitoring of vital signs, maintaining of proper positions, close observation of the wound, skin care and rehabilitation training. Results After intensive care, all cases went through the perioperafive period without bed sores. During follow- up disappearance of clinical symptoms occurred in 24 cases, 3 cases got alleviation,7 cases with no improvement, and 1 case with deteriorated clinical symptom. Conclusions Preoperative care for patients with tethered cord syndrome can provide doctors with the diagnosis and treatment reference, and it plays an important role in treatment and rehabilitation of children patients.