Post-surgical care routine for children with cerebral palsy Cerebral palsy refers to motor dysfunction of the extremities due to damage to brain cells caused by trauma, poisoning or other causes before the development of the brain nervous system before or after birth. The clinical symptoms include mental retardation, motor, ataxia, dyskinesia and sensory impairment caused by brain or cerebellar damage. 1, general care: 4-6h postoperative lying flat on the pillow, head to the side to prevent vomit from accidentally entering the trachea, special guards to prevent the child from agitation, sprain the back and affect the effect of surgery, closely observe the situation of vital signs, give cardiac monitoring, observe respiratory secretions, aspiration and nebulized inhalation when necessary. 2. Keep the drainage tube unobstructed and properly fixed, closely observe the amount and color of drainage fluid: if the drainage fluid is too much or clear in color within a short period of time, be alert to the occurrence of cerebrospinal fluid leakage. Under normal circumstances, the drainage flow should not exceed 300ml on the first postoperative day, and strict bedside handover, strengthen rounds and contact with doctors in time. 3, wound observation: closely observe the wound bleeding, keep the auxiliary material clean and dry, replace it in time if there is contamination, pay attention to observe whether the wound exudation is bloody or yellowish liquid, if yellowish liquid is found, it is cerebrospinal fluid leakage, the doctor should be notified in time for treatment, elevate the tail of the bed 30o, while preparing sandbags, pressure bandage after drug change, lie flat for three days. 4, postural care: the child back to the ward 4-6h after the first turn, turn over, pay attention to keep the trunk straight, axial turning, to prevent sprained wounds caused by bleeding, pain, side lying place a soft pillow on the back leaning, postoperative general lie flat three days, to prevent postural cerebrospinal fluid reduction caused by reduced cranial pressure caused by pain. 5, diet: the day after general anesthesia is often vomiting, postoperative vomiting in children is more common, the reasons are: anesthesia reaction; transient cerebrospinal fluid, low cranial pressure. Therefore, the day of fasting or drink a small amount of water, the first day of postoperative semi-liquid diet, the third day to encourage patients to eat more coarse fiber food to promote the child’s bowel movement. 6, the second stool: observe the second stool, whether there is fecal incontinence, accurate records of urine color, volume, nature. 7. Skin care: Small and delicate skin, prone to decubitus ulcers after pressure. Massage the pressurized area twice a day, turn over once in 2 hours in the first 3 days after surgery, and turn over once in 4 hours on the 4th day. 8, sensory observation: the child is awake to observe the recovery of the feeling of both lower limbs, most children after surgery, both lower limbs weak numbness, burning pain, generally 4-6 days from the proximal to distal symptoms gradually disappear. 9, pain care: pain generally appears 4h after surgery, the most intense within 24h. The child’s attention can be distracted, comfortable position can be adopted, pain medication can be given if necessary, and rest and sleep can be ensured. 10. Postoperative complications: (1) Vomiting: if caused by anesthetics, it appears early and disappears gradually for 2-3 days, no special treatment is needed. If necessary, give intramuscular injection of gastrodia. If it is caused by low cranial pressure, often accompanied by headache, dizziness, vomiting more frequently, the foot of the bed should be elevated 30-50cm, if necessary, clip the drainage tube. If it is caused by drugs, it can disappear after stopping the drugs. When vomiting, pay attention to keep the respiratory tract unobstructed, frequent vomiting should be observed for vital signs, skin elasticity, thirst and timely rehydration to prevent electrolyte disorders. (2) Prevention of pulmonary infection: turn and tap the back regularly after surgery to help excretion of sputum, and perform nebulized inhalation if necessary. (3) Prevention of urinary tract infection: advise the child to drink more water, keep bed sheets clean and dry, wash promptly after defecation, and keep the perineum clean and dry. Do bladder flushing daily for children with indwelling catheters.