目的 探讨上颈椎不稳患者经后路寰枢椎椎弓根钉棒固定融合术围术期的护理方法.方法 对12例上颈椎不稳患者术前做好心理护理,保持有效的颅骨牵引及头-胸环固定牵引,术后严密监测生命体征,预防脊髓水肿,观察切口及引流情况,保持正确体位和正确穿戴头颈胸支具,鼓励早期离床活动,重视并发症观察和出院指导.结果 12例患者均顺利度过围术期,未出现术后并发症,患者临床症状缓解或消失,且均能较早下床活动.结论 精心的围术期护理是手术成功的重要保障,可改善患者术后的生活质量.%Objective To study the peri-operative nursing care method in patients with upper cervical spine instability with posterior atlanto-axial pedicle screw-rod fixation and fusion. Methods 12 patients were give preoperative psychological nursing of upper cervical instability, mintain effective chest and head-skull traction collar traction, vital signs was closely monitored after surgery to prevent spinal cord edema, incision and drainage were observed, the correct posture and correct wearing of head and neck chest brace were mintained, the early off-bed activities were encouraged and complications and discharge instructions were attented. Results 12 cases patients were navigated the perioperative without postoperative complications, clinical symptoms eased or disappeared, and were able to out of bed activity early. Conclusion Perioperative nursing care of carefully is important guarantee of successful operation, which can improve the quality of life in postoperative patients.
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