《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (10): 910-911.

• 临床观察 • 上一篇    下一篇

骶骨肿瘤切除术围手术期康复护理

陈映琼; 曾小芳; 候晓敏; 陈静金; 彭贤娟   

  1. 汕头大学医学院第一附属医院骨科,广东汕头市 515041
  • 收稿日期:2005-10-18 出版日期:2006-10-01 发布日期:2006-10-01

Rehabilitation Nursing of the Sacral Tumor Resection at the Peri-operative Period

CHEN Ying-qiong, ZENG Xiao-fang, HOU Xiao-min, et al   

  1. The Department of Orthopaedics, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong, China
  • Received:2005-10-18 Published:2006-10-01 Online:2006-10-01

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摘要： 目的探讨一期前后联合入路行骶骨肿瘤切除加内固定术围手术期康复护理的作用。方法对15例骶骨肿瘤患者术前进行针对性心理疏导、胃肠道准备、会阴括约肌收缩和扩展训练;术后严密观察生命体征及神经功能变化,加强康复锻炼指导。结果经2～37个月随访,除1例患者因肿瘤肺转移死亡,其余病例术后近期疗效满意,局部症状缓解,大小便正常。结论围手术期康复护理在骶骨肿瘤切除加内固定术后的恢复及功能重建中至关重要,能有效减少并发症的发生。

关键词: 骶骨肿瘤, 手术治疗, 围手术期, 康复护理

Abstract: ObjectiveTo evaluate the effect of rehabilitation nursing in the peri-operative period of the first-stage combined anterior-posterior approach surgery in the sacral tumor resection.Methods15 patients with sacral tumor received psychological intervention, gastrointestinal preparation, exercises of perineum sphincter contraction and relaxation training before the operation. Changes of patients' vital signs and nerve function were observed after the operation, and rehabilitation training and instruction were performed.ResultsAll cases were followed up for 2～37 months. Except one case died of tumor transfered to lung, all of other cases had a satisfactory curative effect in the near future, and their local symptom released and the functions of urination and defecation were kept well.ConclusionRehabilitation nursing in the peri-operative period plays an important role in surgical treatment of sacral tumor. It affects the rehabilitation and function restitution obviously and can reduce the occurrence of complication effectively.

Key words: sacral tumor, surgical treatment, peri-operative period, rehabilitation nursing