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

摘要： 目的 探讨术前气管推移训练对颈椎前路减压植骨融合内固定术的患者术后并发症及术后康复的影响。方法 回顾性分析江门市中心医院2017年1月到2021年7月行颈椎前路减压植骨融合内固定术的患者205例的临床资料,其中行单节段颈椎前路减压植骨融合内固定术的患者122例,行双节段颈椎前路减压植骨融合内固定术的患者83例。单节段患者中62例为术前气管推移训练组,60例为对照组。双节段患者中45例为气管推移训练组,38例为对照组。观察和分析的指标包括术后饮水呛咳、声音嘶哑、咽喉疼痛时间、咽喉疼痛程度、术后声音嘶哑及术后吞咽困难。结果 205例患者全部顺利完成手术,无患者死亡。在单节段颈椎前路减压植骨融合内固定术的患者中,气管推移训练组和对照组在术后饮水呛咳、术后声音嘶哑、术后吞咽困难等方面的差异无统计学意义（P>0.05）,但气管推移训练组比对照组术后咽喉疼痛的时间更短,术后咽喉疼痛的程度更轻（P<0.05）。在双节段颈椎前路减压植骨融合内固定术的患者中,气管推移训练组比对照组发生术后饮水呛咳、声音嘶哑、吞咽困难的患者更少（P<0.05）,术后咽喉疼痛的时间更短、程度更轻（P<0.05）。结论 颈椎前路减压植骨融合内固定术的患者术前进行气管推移训练有利于患者术后的术后快速康复,增强患者的术后舒适感,尤其对双节段颈椎前路减压植骨融合内固定术的患者更加明显。

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