Risk evaluation and nursing of neurological deterioration of patients with cervical spine injury
10.3760/cma.j.issn.1674-2907.2013.08.006
- VernacularTitle:颈椎损伤患者神经功能恶化的风险评估与护理对策
- Author:
Xiu-Hong HUANG
1
;
Jun-Qin DING
;
Yi CUI
;
Xiu-Ting LI
Author Information
1. 河北医科大学第三医院脊柱骨科
- Keywords:
Nursing;
Risk assessment;
Cervical spine injury;
Neurological deterioration
- From:
Chinese Journal of Modern Nursing
2013;19(8):890-892
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk of neurological deterioration of patients with cervical spine injury in order to explore nursing strategy.Methods A retrospective survey was done for 362 patients with acute cervical spine injury admitted to our hospital from May 2005 to December 2011,of which five patients with severe neurological deterioration were analyzed in mechanism of injury,clinical manifestations and imaging data.Results Severe cervical fracture dislocation,a history of ankylosing spondylitis or spinal stenosis were high-risk groups of neurological deterioration.Conclusions The nurse should first assess the stability of the cervical spine and nerve function,then provide care in cervical patients such as turning around from the back and so on.According to the results of the assessment,neck brake,choosing suitable neck posture and regular turning can effectively avoid the risk of neurological deterioration.
