1例双下肢瘫痪患者植入脊髓神经刺激器的护理

doi:10.3761/j.issn.0254-1769.2023.18.012

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (18): 2257-2260.DOI: 10.3761/j.issn.0254-1769.2023.18.012

1例双下肢瘫痪患者植入脊髓神经刺激器的护理

朱钰(), 于圆梦, 张帅, 刘云阳, 张松, 白鸿瑞, 刘春英()

300192 天津市天津市第一中心医院手术室（朱钰，于圆梦，张帅，张松，白鸿瑞，刘春英），神经外科（刘云阳）

收稿日期:2022-10-09 出版日期:2023-09-20 发布日期:2023-09-22
通讯作者: 刘春英，E-mail：liu000571@163.com
作者简介:朱钰：女，本科，副主任护师，E-mail：157998903@qq.com

Nursing cooperation of a case of spinal nerve stimulator implantation in the treatment of lower extremity paralysis surgery

ZHU Yu(), YU Yuanmeng, ZHANG Shuai, LIU Yunyang, ZHANG Song, BAI Hongrui, LIU Chunying()

Received:2022-10-09 Online:2023-09-20 Published:2023-09-22

摘要/Abstract

摘要：

总结1例双下肢瘫痪患者植入脊髓神经刺激器的护理经验。护理要点：组间多学科协作团队，进行充分的术前准备，保证手术质量；密切观察并及时反馈电生理监测运行情况，确保手术操作精准度；科学快速筛查术中获得性压力性损伤风险，保障侧卧位安全；精细配合术中唤醒，保障电极植入位置精准；严格防控切口感染风险，健全防御机制；开展术后随访，提升延续护理质量。患者手术顺利，术后1个月电极开机，臀部和左下肢出现知觉。

关键词: 脊髓损伤, 脊髓刺激器,植入, 截瘫, 手术配合, 围手术期护理

Abstract:

To summarize the nursing cooperation experience of a spinal cord injury patient with spinal cord nerve stimulator implantation in the treatment of paralysis of both lower limbs. Rigorous perioperative care was provided for patients；multidisciplinary collaborative diagnostic and treatment teams were established and participated in；a surgical support system was established；close observation and timely feedback on the operation of electrophysiological monitoring was conducted to ensure the accuracy of surgical operations；the safety of surgical posture was assessed using the CORN Intraoperative Acquired Stress Injury Risk Assessment Scale；fine cooperation with patients during the awake period of surgery was to ensure accurate electrode placement；stringent risk management and control of incision infection and sound defense mechanisms were conducted. The patient’s surgery was successful，and a month after the surgery，the electrodes were turned on，and sensation appeared in the hip and left lower limb.

Key words: Spinal Cord Injuries, Spinal Cord Stimulator,Implantation, Paraplegia, Surgical Coordination, Perioperative Nursing

朱钰, 于圆梦, 张帅, 刘云阳, 张松, 白鸿瑞, 刘春英. 1例双下肢瘫痪患者植入脊髓神经刺激器的护理[J]. 中华护理杂志, 2023, 58(18): 2257-2260.

ZHU Yu, YU Yuanmeng, ZHANG Shuai, LIU Yunyang, ZHANG Song, BAI Hongrui, LIU Chunying. Nursing cooperation of a case of spinal nerve stimulator implantation in the treatment of lower extremity paralysis surgery[J]. Chinese Journal of Nursing, 2023, 58(18): 2257-2260.

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1例双下肢瘫痪患者植入脊髓神经刺激器的护理

Nursing cooperation of a case of spinal nerve stimulator implantation in the treatment of lower extremity paralysis surgery

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