关键词: 气管推移训练, 颈椎前路减压植骨融合内固定术, 颈椎病

Abstract: Objective To investigate the effect of preoperative tracheal nudge training on postoperative complications and postoperative rehabilitation in patients undergoing anterior cervical decompression graft fusion internal fixation. Methods The clinical data of 205 patients who underwent anterior cervical decompression and bone grafting fusion and internal fixation from January 2017 to July 2021 in Jiangmen Central Hospital were retrospectively analyzed. Among them, 122 patients underwent single-segment anterior cervical decompression-implant fusion and internal fixation, and 83 patients underwent double-segment anterior cervical decompression-implant fusion and internal fixation. Sixty-two of the single-segment patients were in the preoperative tracheal nudge training group, and 60 were in the control group. Forty-five of the bipartite patients were in the tracheal nudge training group, and 38 were in the control group. The indicators observed and analyzed included postoperative choking on drinking water, hoarseness, duration of throat pain, degree of throat pain, postoperative hoarseness and postoperative dysphagia. Results All 205 patients completed the surgery successfully, and no patients died. In patients with single-segment anterior cervical decompression graft fusion internal fixation, there were no statistically significant differences between the tracheal nudge training group and the control group in terms of postoperative water choking, postoperative hoarseness, and postoperative dysphagia （P>; 0.05）, but the duration of postoperative throat pain was shorter and the degree of postoperative throat pain was less severe in the tracheal nudge training group than in the control group （P<; 0.05）. In patients undergoing anterior decompression graft fusion internal fixation of the cervical spine in both segments, fewer patients in the tracheal nudge training group experienced postoperative choking on drinking water, hoarseness, and dysphagia than in the control group （P<; 0.05）, and postoperative throat pain was shorter and less severe （P<; 0.05）. Conclusion Preoperative tracheal nudge training in patients undergoing anterior cervical decompression-implant fusion internal fixation is beneficial to patients′ rapid postoperative recovery and enhances their postoperative comfort, especially for patients undergoing anterior cervical decompression-implant fusion internal fixation in both segments.

Key words: tracheal passage training, anterior cervical decompression and bone grafting and internal fixation, cervical spondylosis