单节段颈前路椎间盘切除融合术后引流及护理

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

彭苑妮¹ 

关键词: 颈椎间盘;    颈前路椎间盘切除植骨融合;    负压引流;    引流管;   

DOI  :  10.11997/nitcwm.201809040

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To evaluate the drainage with and without negative pressure after single-level anterior cervical discectomy and fusion(ACDF), and to summarize related nursing measures. Methods 〓Totally 26 patients undergoing single-level ACDF were randomly divided into the study group and the control group, with 13 cases in each group. The drainage with negative pressure was performed in the control group, and the drainage without negative pressure was adopted in the study group. The postoperative complications, volume of postoperative drainage fluid, frequency of dressing changes and overall times of nursing before withdrawing drainage tube were observed and compared between two groups. Results 〓There was no complication such as cervical hematoma, tracheal oppression, nerve or spinal cord injury in both two groups. The volume of postoperative drainage fluid of the study group(12.20±7.20 mL)was less than that of the control group(21.10±8.60 mL),with a significant difference(P<0.01). There was no significant difference in the frequency of dressing change between study group(2.20±0.40)and control group(2.50±0.50)after operation(P>0.05). Patients of the control group received more times of nursing management for drainage tube compared with those in the study group(P<0.05). Conclusion 〓Application of drainage without negative pressure may reduce the volume of postoperative drainage fluid after ACDF, which in turn reduce the workload of nurses.

【 授权许可】

CC BY-NC