Nursing experience of a patient with cervical spondylotic myelopathy accompanied by incomplete paralysis

ZHAO Pengyuan; WEI Feng; LU Shuang; ZHAO Yingyan

doi:10.12209/CAIM202407160001

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Nursing experience of a patient with cervical spondylotic myelopathy accompanied by incomplete paralysis

更新时间：2024-09-30

- Nursing experience of a patient with cervical spondylotic myelopathy accompanied by incomplete paralysis
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  北京中医药大学东直门医院骨伤科二区，北京， 100010
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202407160001
  CLC：
- Published Online：30 September 2024，
  
  Received：16 July 2024，
- 稿件说明：
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ZHAO Pengyuan, WEI Feng, LU Shuang, et al. Nursing experience of a patient with cervical spondylotic myelopathy accompanied by incomplete paralysis. [DB/OL].Clinical Archives of Integrative Medicine, 2024.
DOI：

ZHAO Pengyuan, WEI Feng, LU Shuang, et al. Nursing experience of a patient with cervical spondylotic myelopathy accompanied by incomplete paralysis. [DB/OL].Clinical Archives of Integrative Medicine, 2024. DOI： 10.12209/CAIM202407160001.

摘要

本文总结1例脊髓型颈椎病患者行颈椎前路手术围手术期的护理体会。患者因脊髓型颈椎病伴不完全瘫痪出现颈肩部，双上肢麻木放射样不适，精细动作控制不佳等症状，行颈前路手术。疼痛、神经功能恢复、功能锻炼及正确防跌倒为主要护理问题。根据患者情况，制定如下围术期个性化中西医相结合护理措施：①手术干预：根据病情严重程度，选择前路或后路手术，解除脊髓受压，重建颈椎稳定；②药物治疗：应用神经营养药物、抗炎药及脱水剂等；③中医治疗：予患者中药调理、针灸及推拿等治疗，以促进气血流通和神经恢复。以中医理论为框架，根据患者症状采用中医适宜技术与西医有效结合，可有效减轻症状，减少并发症的发生，从而更快地促进患者康复。

Abstract

This article summarizes the perioperative nursing experience of a patient with cervical spondylotic myelopathy who underwent anterior cervical surgery. The patient underwent anterior cervical surgery due to symptoms such as cervical spondylosis with incomplete paralysis， numbness and radiating discomfort in both upper limbs， and poor control of fine motor skills. Pain， neurological recovery， functional exercise， and proper fall prevention are the main nursing issues. Based on the patient's condition， the following personalized integrated traditional Chinese and Western medicine nursing measures are formulated for the perioperative period： ① Surgical intervention： Depending on the severity of the condition， choose anterior or posterior surgery to relieve spinal cord compression and rebuild cervical stability； ② Drug therapy： using neurotrophic drugs， anti-inflammatory drugs， dehydrators， etc.； ③ Traditional Chinese medicine treatment： treat patients with traditional Chinese medicine conditioning， acupuncture and moxibustion and massage to promote the circulation of qi and blood and nerve recovery. Using traditional Chinese medicine theory as a framework， combining appropriate techniques of traditional Chinese medicine with Western medicine based on patient symptoms can effectively alleviate symptoms， reduce the occurrence of complications， and promote patient recovery faster.

关键词

脊髓型颈椎病围手术期护理颈前路中西医结合

Keywords

cervical spondylotic myelopathyperioperative nursinganterior cervical approachintegrated traditional Chinese and western medicine

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