颈椎损伤患者神经功能恶化的风险评估与护理对策.pdfVIP

．研究荟萃． 颈椎损伤患者神经功能恶化的风险评估与护理对策 黄秀红丁俊琴崔怡李秀婷 【摘要】 目的分析颈椎损伤患者神经功能恶化的风险，探讨护理对策。方法收集2005年5月 至2011年12月收治的362例急性颈椎损伤患者资料，对其中5例发生严重神经功能恶化患者的受伤机 制、临床表现及影像学资料进行分析。结果严重颈椎骨折、脱位，既往有强直性脊柱炎、椎管狭窄者是 发生神经功能恶化的高危人群。结论根据评估的结果采取颈部制动、定时翻身、适宜的卧位和颈部姿 势，可有效地规避颈椎损伤患者神经功能恶化的风险。 【关键词】护理；风险评估；颈椎损伤；神经功能恶化 Riskevaluationand of deteriorationof withcervical HUANG nursingneurological patients spineinjury Hebei Xiu-b昭’，DINGJun—qin，CUIYi，LIXiu·ting．’Departmentofspi,mtOrthopedic，豫刹Hospitalof Medical 05005 1，China University，Shijiazhuang author：DING Corresponding Jun—qin，Email：junqinding@yahoo．com To theriskof deteriorationof withcervical 【Abstract】Objectiveanalyze neurological patients spine inorderto A Writsdonefor362 acute injury strategy．Methodsretrospectivesurvey patients“tll explorenursing cervical admittedtoour from 2005toDecember201 whichfive with spineinjury hospitalMay 1，of patients severe deteriorationwere inmechanismof manifestationsand data． neurological analyzed injury，clinical imaging ResultsSeverecervicalfracture of or stenosiswere dislocation，ahistory spondylitisspinal ankylosing high—risk of Thenurseshouldfirstassessthe ofthecervical deterioration．Conclusions groupsneurological stability spine andnerve careincervical suchas aroundfromthebackandSOon． function，then provide patients turning totheresults neck Can ofthe suita