康复护理对无骨折脱位型颈脊髓损伤患者椎管扩大成形术后的预后影响

发布时间：2018-04-25 19:24

本文选题：无骨折脱位型颈脊髓损伤 + 椎管扩大成形术　；参考：《实用医学杂志》2017年03期

【摘要】：目的:探讨康复护理对无骨折脱位型颈脊髓损伤患者椎管扩大成形术后的预后影响。方法:将收治的28例无骨折脱位型颈脊髓损伤患者作为研究对象,在进行椎管扩大成形术后,予以早期颈部及四肢功能锻炼。结果:手术前患者的神经功能损伤情况按JOA评分法评分4~10分,平均5分。术后随访8~20个月,平均13个月,患者的Frankel分级获得改善:6例在术前评级为B级的患者进步为C级,12例术前评级为C级者进步为D级,2例D级进步到E级。神经功能改善达优8例、良16例、可2例、差2例;随访结束时JOA评分平均为11.5分。颈部疼痛明显改善,未发生明显颈椎后凸畸形。无内固定松脱、断裂等并发症发生。结论:对无骨折脱位型颈脊髓损伤椎管扩大成形术后患者行早期颈部及四肢早期康复锻炼,可有效减轻颈椎术后疼痛,避免术后颈椎后凸畸形,有利于四肢功能的恢复。
[Abstract]:Objective: to explore the effect of rehabilitation nursing on the prognosis of patients with cervical spinal cord injury without fracture and dislocation. Methods: Twenty-eight patients with cervical spinal cord injury without fracture and dislocation were studied. Results: the neurological function injury of the patients before operation was assessed by JOA scoring method, with an average score of 5 points. Follow-up for 8 ~ 20 months (mean 13 months) showed that the Frankel grade of 6 patients with preoperative grade B was improved to that of grade C 12 patients with preoperative grade C advanced to grade D of 2 patients with grade D to grade E. The neurological function was improved in 8 cases, good in 16 cases, fair in 2 cases and poor in 2 cases. The average JOA score was 11.5 at the end of follow-up. Cervical pain was significantly improved and no apparent cervical kyphosis occurred. No internal fixation loosening, rupture and other complications occurred. Conclusion: early rehabilitation exercises for patients with cervical spinal cord injury without fracture and dislocation can effectively reduce postoperative pain, avoid postoperative kyphosis, and be beneficial to the recovery of limb function.
【作者单位】：开平市中心医院骨外科;
【分类号】：R473.6

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