摘要
术后颈部不适是指头颈术后患者出现颈部的疼痛、僵硬、酸胀、无力、活动受限等症状.头颈术后颈部不适受多种因素影响,当前对于术后颈部不适的具体发病机制还没有准确的医学解释,这导致医务人员对头颈术后颈部不适的认知并不完善,因此缺乏具有针对性的有效干预措施.根据头颈术后颈部不适的发生原因可将危险因素分为年龄、性别、吸烟、职业等人口学因素,手术体位、手术时长、手术方式、创伤面积、术后制动等手术因素以及心理因素.目前,关于头颈术后颈部不适危险因素的研究集中于人口社会学资料,而手术因素及心理因素等方面尚未得到足够的重视.本文综述了头颈术后颈部不适的发生机制及危险因素研究进展,以期提高护理人员的相关认识,为下一步临床护理措施的制订提供参考.
Abstract
Neck discomfort after surgery refers to symptoms such as pain,stiffness,soreness,weakness,limited mobility and so on in the neck of patients after head and neck surgery.Neck discomfort after head and neck surgery is influenced by various factors,and currently there is no accurate medical explanation for the specific pathogenesis of postoperative neck discomfort.This leads to incomplete understanding of neck discomfort after head and neck surgery by medical personnel,resulting in a lack of targeted and effective intervention measures.According to the causes of neck discomfort after head and neck surgery,the risk factors can be divided into demography factors such as age,gender,smoking,occupation,etc.,surgical factors such as surgical positions,surgical time,surgical method,wound area,postoperative braking etc.,and psychological factors.At present,research on the risk factors of neck discomfort after head and neck surgery has focused on demographic and sociological data,while surgical and psychological factors have not received sufficient attention.This article reviews the research progress of the mechanisms and risk factors of neck discomfort after head and neck surgery,in order to improve the relevant understanding of nursing staff and provide reference for the formulation of clinical nursing measures in the next step.
维普
万方数据