Endoscopic surgical treatment of lumbar intervertebral disc herniation of Nursing.docVIP

 PAGE \* MERGEFORMAT 4 Endoscopic surgical treatment of lumbar intervertebral disc herniation of Nursing [Keywords:] lumbar disc herniation; surgery; nursing orthopedic lumbar disc herniation is a common disease, its treatment to conservative treatment and surgical treatment as the main method. Now introduce the endoscopic surgical treatment of lumbar disc herniation The nursing experience. 1.1 1 Preoperative nursing care (1) reduce the pain: the absolute lying hard Banchuang rest, raise the bed 20 , knee flexion. Relax the back muscles and increase comfort. (2) to guide patients to take the right approach to get up to stand, to avoid do bending, standing or on the long-term actions such as lifting heavy objects to prevent back muscle spasms, increased pain. (3) the patient has roll-turn over the church. (4) exercise supine urine. (5) Psychological support: with patients communication, encourage patients to voice their concerns and meet their reasonable needs, so that patients on the surgery with confidence. 1.2 Postoperative care (1) Transportation: The patient from the operating room back to the ward, the application method to carry 3 people to move the patient bed. (2) position: Lying within 3h after surgery, do not stand up to oppression of the wound, which will help stop the bleeding. (3) stand: 3h after surgery to help patients stand up, stand up to keep the spine straight, pay attention to the ear lobe, shoulders, hips in a straight line, and the axis of the stand, do not buckling, reversed. and massage pressure areas to prevent pressure sores. 1.2.1 Observe and record changes in condition (1) Observation of vital signs. (2) the observation of pain: patient complained of patience to listen, to observe the reasons causing pain, pain in the nature, location, and extent of rhythm and time of onset of pain accompanied by symptoms such as pale, sweating, blood pressure, pulse rate and other symptoms fine. (3) observe the patient’s