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Health education for the patients with Chiari malformation

发布时间:2009-12-30    点击数:

术后宣教

1. 严密观察生命体征及肢体活动情况.

2. 颈部围领固定、保持环枢椎的稳定、围领制动1个月

3. 观察伤口敷料渗出情况

4. 各种引流管的护理:(伤口引流管. 留置尿管)

勿扭曲、勿打折、勿压,翻身时注意保护,保持引流通畅

Maintain of the flowing, precautious when turned over. Don’t be twisted, folded, or pressed

5. 皮肤护理:保持皮肤清洁,翻身、拍背至少2小时一次,防止褥疮、肺炎的发生

Skin nursing: keep the skin clean, turned over and pat the back at least every 2 hours. Prevent of the bedsore, and pneumonia

6. 注意饮食,易消化食物: Dieting, digestible food

7. pay attention to diet ,have digestible food

进食、饮水速度要缓慢 Slowly eating and drinking

8. The speech of eating and drinking should be slowly

功能锻炼 (Functional exercise )

预防肌肉萎缩,关节僵直,保持指、腕、肘及下肢关节等功能状态

Prevent muscle atrophy, joint stiffness. Keep functional status of articulations of fingers, wrist, elbow and lower limbs

方法: Methods

[1] 握拳练习10个/次,每日三次—四次,逐步增量

Exercise of making fist 10 per time, tid –qid, gradually increased

[2] 做肘,膝关节伸屈运动

Flexion and extension activity of elbows and knees

[3] 直腿抬高练习 10个/次,每日三次—四次,逐步增量

Straight leg rising 10 per time, tid-qid, gradually increased

[4] 勾脚尖练习10个/次,每日三次—四次,逐步增量

Tiptoe extension 10 per time, tid-qid, gradually increased

[5] 加强后颈部肌肉锻练如抬头,顶墙,小燕飞等

Strengthening the neck muscle exercise such as raising head, push-up, back raising

出院指导:Instruction of discharge

1.颈部围领固定1~2个月,不要铁倒,做车时颈部围领固定,防止紧急刹车,颈部受伤

Collar immobilization for 1-2 months. Prevent falling. When sitting in bus or car, precautious sudden stop which might lead to injury of neck

2. 注意肢体功能锻炼

Exercise of limbs

3. 饮食:易消化,高蛋白,含纤维素,维生素高食品,进食饮水要缓慢,防止呛咳

Diet: easy digest, high protein, contain high fibrin and vitamins. Slowly eating and drinking, in case of chocking and couching

4.休息 劳逸结合 避免重体力劳动

Rest, working and rest regular,avoiding strenuous action

5.遵医嘱服用神经营养药:vitB1,vitB12 等

aking medication by physicians’ orders

6.三个月门诊复查

Follow-up 6 months post-operation

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