2016年1月25日星期一

Lumbar disc herniation treatment and care and rehabilitation guidance

Lumbar disc herniation of lumbar disc degeneration refers to rupture, prominent nerve root or cauda equina syndrome clinical generated. Mainly for low back pain with radiation bilateral lower extremity pain, numbness, weakness, lower limb temperature.

Preoperative Care
1. Psychological care is mainly on preoperative patient education. In a variety of ways so that patients understand the disease, as far as possible to reduce or eliminate the patient psychological pressure to win can be optimistic patients proactively cooperate with treatment.

2 preparation before surgery one day routine skin preparation, it is important to clean the skin, soap scrub 2 times, rinse with water, start fasting the night before surgery 10:00, two days before surgery to avoid the fresh air and more food, such as chicken flea, potatoes Wait.



3 operative position and a large bed, hospital patients after urinating training people, in strict accordance with the requirements of practicing surgical position, chest and abdomen pad pillow prone position. Exercise 3 times a day, gradually increasing the duration to a prone position insists 2h. Axis turning teach patients before surgery. And made it clear the importance of making it fit. Because most patients are not used in bed, toilet, in order to prevent postoperative urinary retention, two days before surgery began practicing in bed supine urination.

Postoperative care
1. The position after the patient lies in supine, after 6h to pillow supine, the first partial side, the overall feeling of the patient asks. 6h supine Banchuang strictly coaxial stand. Usually 2h 3h flipped a 1, assisted by nurse-axis turning patients to prevent pressure sores from occurring, avoid twisting action occurs waist. 6h told the patient after eating liquid diet, normal diet the next day.

2. Observe the spinal nerve function is mainly to see if the bone caused by nerve damage, so the nurse on duty should be closely observed lower extremity sensory, activity, abnormal situation should be promptly reported to the doctor treatment.

3. measurement of vital signs observed within 6h after every hour. After recording at any time according to changes in condition. At the same time observe the patient complexion, limb temperature, check the smooth infusion.

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