脊柱手术后并发脑脊液漏患者护理措施的研究

发布时间：2018-10-16 13:31

【摘要】：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。
[Abstract]:Objective to explore the nursing measures of cerebrospinal fluid leakage after spinal surgery. Methods A total of 60 patients with cerebrospinal fluid leakage after spinal surgery were selected and randomly divided into observation group (n = 30) and control group (n = 30). The patients in the control group received routine nursing and the patients in the observation group received improved nursing. The hospitalization time, CSF leakage stop time, drainage time, incision delayed healing rate, wound infection rate and (VAS) pain were recorded and compared between the two groups. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were recorded and compared between the two groups on the day of operation and 7 days after nursing. Results the hospitalization time of the patients in the observation group, The time of cerebrospinal fluid leakage stopping and drainage were significantly lower than that of control group (P0.05), the rate of delayed healing and infection rate of incision in the observation group were significantly lower than those in the control group (P0.05); the number of severe pain in the observation group was significantly less than that in the control group (P0.05). The scores of SAS and SDS in the observation group were significantly lower than those in the control group (P0.05). Conclusion the improved nursing measures can accelerate the wound healing and rehabilitation of patients with cerebrospinal fluid leakage after spinal surgery, and prevent infection effectively.
【作者单位】：四川省德阳市人民医院核医学科;
【分类号】：R473.6

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