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北京市健宫医院 骨伤科, 北京 100054
网络出版日期:2023-12-04,
收稿日期:2023-10-12,
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李佳伟, 王嫦月. 1例颈椎前路术后患者吞咽困难的护理体会[DB/OL].中西医结合临床案例库, 2023.
JIAWEI LI, CHANGYUE WANG. Nursing experience of dysphagia in patients after anterior cervical spine surgery. [DB/OL].Clinical archives of integrative medicine, 2023.
李佳伟, 王嫦月. 1例颈椎前路术后患者吞咽困难的护理体会[DB/OL].中西医结合临床案例库, 2023. DOI: 10.12209/CAIM202310120048.
JIAWEI LI, CHANGYUE WANG. Nursing experience of dysphagia in patients after anterior cervical spine surgery. [DB/OL].Clinical archives of integrative medicine, 2023. DOI: 10.12209/CAIM202310120048.
颈椎前路减压手术是目前骨科常用的用于治疗颈椎疾病的手术方式。虽然其较低的并发症发生率被认为是安全有效的术式,但随着手术病例的增加,其并发症也越来越受到重视。本文总结1例颈椎前路手术患者,术后出现吞咽困难的并发症,通过评估吞咽困难程度、给予进食代偿管理、吞咽功能训练、呼吸功能训练、加强基础护理、相关健康教育及心理护理等护理干预方案。患者吞咽困难症状明显改善,舒适度得到提高。
The anterior cervical decompression surgery is the orthopaedic operation method commonly used for the treatment of cervical vertebra disease. Although its low complication rates is considered to be safe and effective operation, but with the increase of surgical cases, its complications is becoming more and more attention. This article summarizes a patient with dysphagia complications after anterior cervical spine surgery. Through the evaluation of the degree of dysphagia, feeding compensation management, swallowing function training, respiratory function training, strengthening basic nursing, related health education and psychological nursing, and other nursing intervention programs. Patients with dysphagia symptoms improved, comfort was improved.
颈椎前路手术吞咽困难颈椎疾病骨科手术护理
anterior cervical surgerydifficulty swallowingcervical vertebra diseaseorthopaedic surgerynursing care
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张娟, 张超, 周玉妹. 不同吞咽训练方式对桥小脑角区肿瘤术后吞咽障碍病人护理效果的影响[J]. 护理研究, 2020, 34(4): 580-584.
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张娟, 由丽, 张素爱, 等. 下颏抗阻力训练与Shaker训练对脑梗死后吞咽障碍及心理状态的影响[J]. 临床与病理杂志, 2020, 40(10): 2636-2641.
ZHANG J, YOU L, ZHANG S A, et al. Effect of chin tuck against resistance and Shaker training on dysphagia and mental state after cerebral infarction[J]. J Clin Pathol Res, 2020, 40(10): 2636-2641.(in Chinese)
史淑芳, 薛晓玉, 张霞, 等. 安全吞咽管理在颈椎前路术后吞咽困难患者中的应用[J]. 中国药物与临床, 2021, 21(9): 1629-1631.
SHI S F, XUE X Y, ZHANG X, et al. Application of safe swallowing management in patients with dysphagia after anterior cervical surgery[J]. Chin Remedies Clin, 2021, 21(9): 1629-1631.(in Chinese)
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