氧气雾化吸入体位对颈椎前路多节段减压植骨融合术后吞咽困难的影响

来源期刊：广州医药 | 41-44 发布时间：2021-11-24 收稿时间：2025/11/13 18:09:28 阅读量：70

作者：: 龙新华,

谢蓉,

万东花,

姜小燕,

李冬华,

卢路路,

周荣平,

张国妹,

关键词：: 雾化体位颈椎前路手术吞咽困难; Aerosolized position Anterior cervical spine surgery Dysphagia

DOI：: 10.3969/j.issn.1000-8535.2021.03.008

收稿时间：: 2020-12-03
修订日期：
接收日期：
引用总数：: 0

目的氧气雾化吸入体位对颈椎前路减压植骨融合术后吞咽困难的影响。方法将在2017年2月—2019年10月期间行颈椎前路减压植骨融合术患者(2～3节段)123例随机分成两组:A组(n=56,半卧位行氧气雾化), B组(n=67,平卧位行氧气雾化)。比较两组术后吞咽困难发生及程度、持续时间情况和患者对氧气雾化吸入方法满意度。结果 A组术后吞咽困难发生率低于B组(P=0.042),并且吞咽困难程度动态变化中总体优于B组;两组吞咽困难持续时间无统计学差异(P=0.826)。A组患者对氧气雾化吸入方法满意度优于B组患者(P=0.022)。结论半卧位氧气雾化吸入能降低颈椎前路术后吞咽困难的发生及严重程度。

1、梁月屏,黄锦依,梁卓智.多节段脊髓型颈椎病前路手术后吞咽困难的护理干预效果分析[J]. 现代医院,2014,14(4):81-83,86.

2、杜春芳.单节段颈椎前路手术后吞咽困难的预防和护理[J]. 护理研究,2018,32(24):3983-3984.

3、 STEIN S W, THIEL C G. The history of therapeutic aerosols: a chronological review[J]. J Aerosol Med Pulm Drug Deliv,2017,30(1):20-41.

4、 CARVALHO T C, MCCONVILLE J T. The function and performance of aqueous aerosol devices for inhalation therapy[J]. J Pharm Pharmacol,2016,68(5):556-578.

5、 LIU Y, WANG H, LI X, et al. Comparison of a zero-profile anchored spacer (ROI-C) and the polyetheretherketone (PEEK) cages with an anterior plate in anterior cervical discectomy and fusion for multilevel cervical spondylotic myelopathy[J]. Eur Spine J,2016,25(6):1881-1890.

6、 CHEN Z,WEI X,LI F, et al. Tracheal traction exercise reduces the occurrence of postoperative dysphagia after anterior cervical spine surgery[J]. Spine(Phila Pa 1976),2012,37(15):1292-1296.

7、 LEE M J, BAZAZ R, FUREY C G, et al. Influence of anterior cervical plate design on Dysphagia: a 2-year prospective longitudinal follow-up study[J]. J Spinal Disord Tech,2005,18(5):406-409.

8、 JOAQUIM A F, MURAR J, SAVAGE J W, et al. Dysphagia after anterior cervical spine surgery: a systematic review of potential preventative measures[J]. Spine J,2014,14(9):2246-2260.

9、 TIAN W, YU J. The role of C2-C7 angle in the development of dysphagia after anterior and posterior cervical spine surgery[J]. Clin Spine Surg,2017, 30(9):E1306-E1314.

10、 SISKA P A,PONNAPPAN R K,HOHL J B, et al. Dysphagia after anterior cervical spine surgery:a prospective study using the swallowing quality of life questionnaire and analysis of patient comorbidities[J]. Spine (Phila Pa 1976),2011,36(17):1387-1391.

11、 OLSSON E C, JOBSON M, LIM M R. Risk factors for persistent dysphagia after anterior cervical spine surgery[J]. Orthopedics,2015,38(4):319-323.

12、 KEPLER C K, RIHN J A, BENNETT J D,et al. Dysphagia and soft-tissue swelling after anterior cervical surgery:a radiographic analysis[J]. Spine J,2012,12(8):639-644.

13、 MEHRA S, HEINEMAN T E, CAMMISA F R, et al. Factors predictive of voice and swallowing outcomes after anterior approaches to the cervical spine[J]. Otolaryngol Head Neck Surg,2014,150(2):259-265.

14、 LIU J M, TONG W L, CHEN X Y, et al. The incidences and risk factors related to early dysphagia after anterior cervical spine surgery: a prospective study[J]. PLoS One,2017,12(3):e0173364.

15、张爱玲,王琦箫,古丽巴哈尔·吾拉木.专项护理干预联合布地奈德雾化吸入预防颈椎前路减压融合术后椎前软组织肿胀及吞咽困难的研究[J]. 现代中西医结合杂志,2020,29(31):3508-3512.

16、朱彦奇,曹锐,盛伟斌.前路颈椎融合术后吞咽困难危险因素的研究进展[J]. 脊柱外科杂志,2020,18(1):58-63.

17、于杰,靳培浩,阎凯,等. 颈椎前路术后吞咽困难相关因素的探讨[J]. 骨科临床与研究杂志,2020,5(3):161-166.

18、 SONG K J, LEE S K, KO J, et al. The clinical efficacy of short-term steroid treatment in multilevel anterior cervical arthrodesis[J]. Spine J,2014, 14(12):2954-2958.

19、 ANDREI F J, PHDA J M, JASON W S, et al. Dysphagia after anterior cervical spine surgery: a systematic review of potential preventative measures[J]. Spine J, 2014,14(9):2246-2226.