| 詹雪,赵娅,吴明珑.颈椎气道梗阻高风险病人的围手术期护理.骨科,2023,14(6): 563-565. |
| 颈椎气道梗阻高风险病人的围手术期护理 |
| Perioperative Nursing Care for High-risk Patients with Cervical Airway Obstruction |
| 投稿时间：2023-03-17 |
| DOI：10.3969/j.issn.1674-8573.2023.06.014 |
| 中文关键词: 颈椎手术 气道梗阻 围手术期护理 |
| 英文关键词: Cervical spinal surgery Airway obstruction Perioperative care |
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| 中文摘要: |
| 目的 探讨颈椎气道梗阻高风险病人围手术期的护理方法，以期为临床护理提供借鉴。方法 回顾性分析2020年8月至2021年12月在我科行颈椎手术，术前或术后即刻气道梗阻风险筛查评估为高风险的颈椎疾病或颈椎外伤病人142例的临床资料。围手术期对气道梗阻评估结果为高风险的病人进行风险预警，并结合风险因素对家属进行健康宣教。术前做好气道护理、体位护理，并创造良好病房环境；术后严格气道管理、严密病情监测，做好体位护理、引流管护理、饮食护理及急救护理。结果 1例术前气道梗阻高风险病人发生术后气道梗阻，发生率为0.7%。因提前采取风险预警机制，发现及时并抢救措施到位，病人最终转危为安，顺利康复出院。结论 颈椎气道梗阻高风险病人围术期病情变化快，须进行风险预警，严密观察病情变化，做到早发现早干预，提高护理质量，保障病人安全。 |
| 英文摘要: |
| Objective To explore nursing methods for high-risk patients with cervical airway obstruction during the perioperative period, in order to provide reference for clinical nursing. Methods A retrospective analysis was conducted on the clinical data of 142 patients with cervical spine diseases or cervical spine trauma who underwent cervical spine surgery in our department from August 2020 to December 2021. Preoperative or immediate postoperative airway obstruction risk screening and assessment were performed in these patients identified as high-risk. During the perioperative period, high-risk patients with cervical airway obstruction were given a risk warning, and health education was provided to their families in conjunction with the risk factors. Preoperatively, proper airway care and positioning care were performed, and a conducive hospital environment was created. Postoperatively, strict airway management and close monitoring of the patient's condition were implemented. Additionally, proper positioning care, drainage tube care, diet care, and emergency care were provided. Results One high-risk patient with preoperative airway obstruction experienced postoperative airway obstruction, with an incidence rate of 0.7%. Due to the implementation of an early risk warning mechanism, the obstruction was promptly detected, and suitable rescue measures were taken. Consequently, the patient's condition was improved, allowing for a smooth recovery and successful discharge. Conclusion High-risk patients with cervical airway obstruction during the perioperative period exhibit rapid changes in their condition. Therefore, it is necessary to conduct risk warning, closely monitor changes in the patient's condition, achieve early detection and intervention, and enhance the quality of care to ensure patient safety. |
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