International Journal of Nursing Research

Objective: To analyze the nursing methods of neuroelectrophysiological monitoring in scoliosis three-dimensional orthopedic surgery, and to provide references for the research work of related personnel. Methods In this study, 100 patients with congenital/idiopathic scoliosis who were admitted to our hospital from August 2019 to August 2021.6.8 were selected as study samples. In the process of receiving surgery to treat the disease, the nurses carried out targeted perioperative nursing for the patients and analyzed the results. Results The mean operation time was (7.19 ± 2.58) h. There were 2 cases of Grade II pressure trauma and 2 cases of electric burn during operation. After treatment, the patient recovered. Neuromonitoring and early warning occurred in 8 patients. During the correction of 7 patients, SEP of both lower extremities decreased by 50.00%~70.00%. After being reminded by the nurse, the nurse stopped guarding and changed the operation plan in time. Continue the operation after SEP recovery, and then the nerve function will recover to the original level. One patients SEP amplitude decreased by 70.00%~90.00%, and the incubation period extended by 50.00%. The patients MEP waveform disappeared completely. After emergency treatment, the patient did not improve significantly. 2 hours after the operation, the patient should carry out emergency surgical exploration, choose the internal fixation screw rod loosening treatment, implement intermittent hyperbaric oxygen therapy for the patient, and carry out symptomatic nutritional intervention for the patient. Half a year after the operation, the patients lower limbs recovered to some extent, but there was no significant change in the level of lower limb muscle strength. Conclusion The application of multimodal electrophysiological monitoring technology in scoliosis surgery can reduce the incidence of intraoperative complications. At the same time, targeted nursing for patients during the perioperative period can achieve satisfactory results. This scheme is worthy of further promotion and application in clinical practice.

Neuroelectrophysiological monitoring; Scoliosis; Three dimensional corrective surgery; clinical nursing