脊柱后路手术体位护理的难点及对策分析.docVIP

精品论文 参考文献 脊柱后路手术体位护理的难点及对策分析 （四川省隆昌县人民医院 四川 隆昌 642150） 【摘 要】目的：探讨分析脊柱后路手术后病患的体位护理的难点以及对策，寻找在手术后应用合适的体位避免由于护理体位不当造成损伤，给病患在术后造成一些并发症。方法：在病患俯卧位于病床上时，在身体各个负重处及关节处用大小合适的棉垫保护软组织。不同部位、关节处用以支撑保护的棉垫薄厚合适，在术后对病人进行护理时，特别是进行翻身时要保持身体成一轴线翻身，对呼吸及循环功能等各项生命体征进行监测。结果：术中、术后病患各负重处器官功能，各负重关节处皮肤及关节功能良好。结论：选取合适、正确、方便、安全的体位进行护理能够避免在术后给病患造成不必要的损伤并发症。 【关键词】脊柱后路手术；体位；护理难点 【中图分类号】R473.6 【文献标识码】B 【文章编号】1003-5028（2015）6-0727-02 【Abstract】objective: to study the analysis of the spinal posterior surgery patients, the difficulty and countermeasure of body position nursing care, find application in the process of operation right position to avoid damage due to improper body position, to patients in some intraoperative or postoperative complications. Methods: in patients with stomach surgery bed in weight-bearing joints and the body with proper size of rectangular pads support. Different parts and joints to support pads thick, right in the head with the circle shape pads protect the patients head and respiratory unobstructed, at the same time to protect the eyes with eye and adjust position at any time according to the patient surgery need support pad, on respiratory and circulatory function such as vital signs monitoring. Results: the intraoperative and postoperative patients each weight of organ function, the weight-bearing joints skin and joint function is good. Conclusion: select appropriate, accurate, convenient operation, safe and position of nursing care can ensure the safety of the operation is completed and can avoid the intraoperative and postoperative complications cause unnecessary damage to patients. 【Key words】spinal posterior approach; Position; Nursing difficulties 骨科手术中脊柱手术比较常见，但是脊柱手术的危险性却很高。因为在??剖上脊柱椎体的周围及椎管内神经组织和血管非常多，特别是一些椎间动静脉比较丰富及椎间隙中的神经根，这些危险因素都增加了手术的难度和风险，因此选取合适、正确、方便手术操作、安全的体位进行能够保证手术安全顺利完成并且能够避免在术中和术后给病患造成不必要的损伤和并发症[1]。这就给手术医生及护理人员提出了很高的要求。 俯卧位是脊柱后路手术的最常用体位。脊柱手术病患一般采用全身麻醉方法，进行麻醉。目前最常见的、应用最广泛的手术入路为后侧入路。这就要求对病人必须采取俯卧位，俯卧位也是脊柱手术常用的体位。根据手术的难易程