Perioperative nursing of middle-aged and elderly patients with lumbar spinal stenosis and degenerative lumbar scoliosis
10.3969/j.issn.1671-8283.2016.02.005
- VernacularTitle:退变性腰椎侧凸合并腰椎管狭窄症中老年患者围术期的护理
- Author:
Jie MA
;
Qian WANG
;
Rui CHENG
- Publication Type:Journal Article
- Keywords:
lumbar stenosis;
degenerative lumbar scoliosis;
the eldely;
perioperative nursing
- From:
Modern Clinical Nursing
2016;15(2):17-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the perioperative experience of nursing the middle-aged and elderly patients of lumbar spinal stenosis and degenerative lumbar scoliosis treated with posterior or transforaminal lumbar interbody fusion. Methods Posterior or transforaminal lumbar interbody fusion was performed in 69 middle-aged and elderly patients with lumbar spinal stenosis and degenerative lumbar scoliosis. Nursing measures included evaluation and treatment of complications, preoperative guidance for surgical body position, and postoperative close monitoring, treatment of complications and functional exercises. Results The operation on all the 69 patients was smooth, with surgical time ranged from 3 to 7 hours and bleeding volume between 300~750 mL. Postoperatively, 9 patients suffered from CSF leaks, 3 ones had a screw loose by imageology, 2 did from pneumonia, 2 did from DVT, and 3 did from depression. After clinical management and nursing, all the patients were cured and discharged. Conclusions Meticulous clinical treatment and nursing of preoperative complications and instructions on body position are the foundation for successful surgeries. Postoperatively, close monitoring, management of the complications and the instruction on functional exercises are guarantees for the successful surgeries.
