脊柱手术后并发脑脊液漏患者护理措施的研究

目的探讨脊柱手术后并发脑脊液漏的改进护理措施。方法选取行脊柱外科手术术后并发脑脊液漏患者60例作为观察对象,采取数字随机表法将入选病例分为观察组和对照组各30例。对照组接受本院常规护理,观察组患者接受改进护理。记录和比较2组患者住院时间、脑脊液漏停止时间、引流时间、切口延迟愈合率及切口感染发生率和数字评分法(VAS)的疼痛情况。术毕当日及护理7d后记录和比较2组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分。结果观察组患者住院时间、脑脊液漏停止时间和引流时间均显著低于对照组患者(P0.05);观察组患者切口延迟愈合率和切口感染率均显著小于对照组患者(P0.05);观察组患者重度疼痛人数显著少于对照组患者(P0.05);观察组患者SAS和SDS评分均显著低于对照组患者(P0.05)。结论改进护理措施可加快脊柱手术后并发脑脊液漏患者切口愈合和康复速度,有效预防感染。

Nursing measures of patients with cerebrospinal fluid leakage after spinal surgery

Objective To explore the nursing measures of cerebrospinal fluid leakage after spinal surgery.Methods A total of 60 cases with cerebrospinal fluid leakage after spinal surgery were selected as study subjects,and were divided into observation group with 30 cases and control group with 30 cases.Patients in the control group received routine care,and observation group received improved nursing.Hospital stay,stop time of cerebrospinal fluid leakage,drainage time,incision delayed healing rate,incision infection rate and VAS scores were recorded and compared.After operation,self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) scores were recorded and compared.Results The observation group had shorter time in hospital stay,stop time of cerebrospinal fluid leakage,drainage time than that of the control group (P ＜ 0.05),delayed healing rate,and incision infection rate were significantly less than that of the control group (P ＜ 0.05).Proportion of patients with severe pain in the observation group was significantly higher than that of the control group (P ＜ 0.05).The SAS and SDS scores in the observation group were significantly lower than that of the control group (P ＜ 0.05).Conclusion Improved nursing measures can accelerate the wound healing and recovery rate of cerebrospinal fluid leakage after spinal surgery,and effectively prevent infection.