摘要
目的探讨经皮等离子体髓核成形术治疗颈椎间盘突出症的手术配合。方法我院2003年7月-2005年6月采用经皮等离子体髓核成形术治疗颈椎间盘突出症62例，对患者术前心理护理、手术配合及术后效果进行患者回顾性分析。结果所有病例获得随访，随访时间6-24个月（平均17．34±6．41月）。所有手术均获得成功，手术进行顺利，术中病人情绪稳定。手术后疼痛明显缓解或消失，VAS评分术前程度（7．24±2．38），术后（1．025±0．36），有显著性差异（P〈0．001）。手术临床效果显著，JOh评分术前（9．19±1．64），术后（15．37±1．22），有显著性差异（P〈0．001）。结论经皮等离子体髓核成形术治疗颈椎间盘突出症的手术效果良好，术前心理护理解除病人紧张情绪及术中良好的肢体语言交流是手术顺利进行的重要保证。
Objective To essay the intraoperative nursing of percutaneous cervical nucleoplasty （PCN） treatment the cervical disc herniation. Methods From July of 2003 to June of 2005,62 cervical disc herniation cases were operated by PCN, The clinical result and the intraoperative nursing were been retrospectives. Results All cases of clinical been followed up from 6 months to 24 months： average 17.34 ± 6.41） months. The emotion of patients were stable and all cases been successfully operated. There is a significant difference in the pre- and after-operation scores of YAS （P〈O. O01）, which is decreased form （7. 24± 2.38） to （1.02± 0.36）. There had good clinical results. The JOA scores is increased form （9. 19 ±1.64） of pre-operation to （15.37 ±1.22） of post-operation, and there is a significant difference （P〈0. 001）. Conclusions PCN treatment the cervical disc herniation results good outcomes. The mental care and intraoperative nursing is the key of operation.
出处
《国际医药卫生导报》
2007年第1期68-70,共3页
International Medicine and Health Guidance News
关键词
颈椎间盘突出症
经皮穿刺
髓核成形
手术中护理
Cervical disc herniation Percutaneous Nucleoplasty intraoperative nursing
