摘要
目的:探讨小儿脊髓栓系统综合征(TCS)手术治疗的适宜护理方法,以改善神经功能障碍,提高患儿的生存质量。方法:回顾本院2006年1月~2007年1月,对76例脊髓栓系综合征手术治疗的患儿进行的术前心理护理、体位及膀胱功能训练,术后生命体征的监测,皮肤及伤口的护理和康复训练等措施。结果:76例患儿中出现脑脊液漏9例,尿潴留5例,经及时落实护理措施,临床症状均得到改善,未出现新的并发症。结论:完善的术前准备,术后加强病情观察,做好伤口及皮肤的护理,尽早进行功能训练,可最大限度地恢复脊髓神经功能,提高患儿的生存质量。
Objective:To discuss the appropriate nursing methods of tethered cord syndrome treated by surgery in order to improve the neural dysfunction and quality of life in children.Methods:From January 2006 to January 2007,76 children with tethered cord syndrome reeeived preperative mental nursing,body posture and bladder function training,and postoperative vital signs monitoring,skin wound nursing and rehabilitation training.Results:After operation ,leakage of cerebrospinal fluid occurred in 9 cases and 5 children had urinary retention,Timely appropriate nursing intervention improved the clinical symptoms,and no new complications appeared.Conclusion: Consummate preoperative preparation, intensive postoperative observation, well nursing of wound and skin, and early functional training can improve the neural dysfuncion and the quality of life at most in children.
出处
《现代医药卫生》
2007年第24期3657-3659,共3页
Journal of Modern Medicine & Health
关键词
脊髓栓系综合征
小儿
手术
护理
Tethered cord syndrome
Child
Operation
Nursing care