颈肩部护理预防耳廓再造术后颈肩部活动受限并发肌肉损伤疗效观察<br />-《中国美容医学》

文章信息/Info

Title:: Efficacy of Neck and Shoulder Nursing on Prevention of Muscle Injury after Auricle
Reconstruction

Author(s):: RUAN Jing-jing; WANG Dong-dan; JIANG Hai-xia; YUAN Feng-hua; LIU Tun

Keywords:: Key words: microtia; auricle reconstruction; neck and shoulder muscle injury; rehabilitation training; early nursing; stiff neck; atlantoaxial subluxation

摘要:: [摘要]目的：探讨系统的颈肩部护理对预防耳廓再造术后颈肩部活动受限并发肌肉损伤的临床疗效。方法：纳入2018年1
月-2018年12月在笔者科室行耳廓再造术的117例患者为实验组，由责任护士进行系统的颈肩部护理。另纳入2017年1月-2017
年12月在笔者科室行耳廓再造术且未进行系统的颈肩部护理的患者120例为对照组，分析两组术后3、6个月回访数据，分别
统计颈肩部肌肉损伤症状并进行比较。结果：术后3个月，实验组患者中16例（13.7%）出现颈部活动轻度受限等颈部肌肉损
伤症状，通过有针对性的护理干预后，均于术后6个月好转。术后3个月，对照组患者中30例（25.0%）出现正面观歪脖、落
枕、颈肩部活动受限等颈部肌肉损伤症状，与实验组比较差异具有统计学意义（P =0.028）。此外，对照组1例患者术后6个
月出现寰枢椎半脱位。结论：通过系统的颈肩部护理干预，可显著降低患者颈肩部肌肉损伤症状发生率，减少耳廓再造术后
颈部活动受限、落枕等不良反应的发生率。

Abstract:: Abstract: Objective To explore the efficacy of systematic nursing of neck and shoulder on prevention of muscle injury after
auricle reconstruction. Methods 117 patients (the experimental group) who underwent auricle reconstruction and systematic
neck and shoulder care given by nurses in our department from January 2018 to December 2018 were included. 120 patients
(the control group) who underwent auricle reconstruction without systematic neck and shoulder care in our department from
January 2017 to December 2017 were included. Analyzed and compared the data of neck and shoulder muscle injury at 3 and
6 months postoperatively. Results 16 patients (13.7%) in the experimental group had symptoms of neck muscle injury such as
mild restriction of neck movement 6 months postoperatively, and all the patients got relief after systematic neck and shoulder
care. Three months after the operation, 30 patients (25.0%) in the control group had symptoms such as head tilt, falling pillow,
abnormal neck and shoulder movement. The difference between the two groups was statistically significant (P =0.028). Besides,
one patient had atlantoaxial subluxation in the control group 6 months after operation. Conclusion Through systematic
nursing intervention of neck and shoulder, it can significantly reduce the incidence of neck and shoulder muscle injury, such as
restriction of neck movement and have a stiff neck after auricle reconstruction,and improve patient satisfaction.