Analysis of Nursing Cooperation Effect of Anterior Cervical Surgery under Direct Microscope

  • Qunxiu Wang
Keywords: Anterior Cervical Surgery, Standard Open Operation, Under Direct Microscope, Nursing Cooperation

Abstract

To observe the results of anterior cervical surgery under microscope and analyze the nursing cooperation. To
screen 74 patients with cervical spondylotic myelopathy (CSM) admitted to our hospital from May 2018 to
October 2019, and all patients were treated with 1-2 stages of anterior cervical spine decompression; use Table
of Random Sampling Numbers for grouping. There were 37 cases in control group, which accepted open
operation; 37 cases in observation group, which accepted surgery under a microscope. Then observed the upper
extremity and Neck Pain Scale, perioperative indicators, nerve function, cervical dysfunction index and so on.
Data statistics, the observation group was lower than the control group with respect to the incision, blood loss
and hospital stay (P<0.05); comparison of surgical duration of the two groups (P>0.05). In the observation group,
3 patients presented with mild deglutition foreign body sensation after surgery, but no symptoms of dural sac
tear or recurrent laryngeal nerve stimulation, etc. The complication rate of 8.11% was significantly lower than
27.03% in the control group (P<0.05), preoperative JOA score and NDI score of the two groups were compared
(P>0.05); Comparison between 3 days and 3 months after and before surgery, the JOA score in the observation
group and the control group was higher than that before the operation, and the NDI score was lower than that
before the surgery (P<0.05); Comparison of JOA score and NDI score between observation group after surgery
and control group (P>0.05). There was no difference in the degree of upper extremity and neck pain between the
observation group and the control group before and 3 months after surgery (P>0.05); The VAS scores of upper
extremity pain and neck pain 3d later in the observation group were lower than those in the control group
(P<0.05). VAS scores of upper extremity and neck pain in the two groups were compared with those before
surgery (P<0.05). The treatment of the anterior cervical surgery under microscope features small incision, low
invasive, which could reduce the amount of intraoperative blood loss and make hospital stay short; meanwhile,
the comparison between the surgery under microscope and the standard open operation showed that the former
surgery has a lower effect on the spinal cord and nerve function, and the postoperative 3D surgery was less
painful, facilitating postoperative recovery; operative nursing cooperation is the key to ensure the operation
would be successfully performed, and it is crucial for visiting nurses to fully prepare surgical instruments and
instruments before operation

Published
2020-04-01