1例Lambert-Eaton肌无力综合征合并气管切开患者的康复护理分析  

Rehabilitation nursing analysis of a patient with Lambert-Eaton myasthenic syndrome and tracheostomy

作　　者：李淼淼 周燕[1] LI Miaomiao;ZHOU Yan(Department of Nursing,Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院护理部,上海200127

出　　处：《神经病学与神经康复学杂志》2023年第4期112-115,共4页Journal of Neurology and Neurorehabilitation

摘　　要：目的:探究分析1例Lambert-Eaton肌无力综合征(Lambert-Eaton myasthenic syndrome,LEMS)合并气管切开患者的康复护理。方法:对1例LEMS合并气管切开患者进行全面的观察,予以患者康复锻炼以及康复护理。结果:患者入院时吞咽困难,气管切开状态,洼田饮水试验4级。经治疗以及康复护理干预后,患者病情得到了有效的控制,达到呼吸机脱机,拔除气管套管,能自主呼吸。洼田饮水试验2级,拔除鼻胃管,能自主进食半流质饮食。结论:在对LEMS合并气管切开患者进行干预的过程中,可结合患者的实际病情与基本状态,予其具有针对性的康复护理以及康复训练,进而控制患者病情的发展,改善患者预后。Objective:To investigate the rehabilitation nursing of one patient with Lambert-Eaton myasthenic syndrome(LEMS)combined with tracheostomy.Methods:Comprehensive observations,rehabilitation exercises and nursing were conducted on the patient with LEMS combined with tracheostomy.Results:The patient had difficulty swallowing upon admission and was in a tracheostomy state.The Wada drinking water test was performed at level 4.After treatment and rehabilitation nursing intervention,the patient’s condition was effectively controlled,and the ventilator was taken offline,the tracheal tube was removed,and she was able to breathe autonomously.The Wada drinking water test was level 2,with the removal of the nasogastric tube,the patient was able to autonomously consume the semi liquid diet.Conclusion:In the process of intervening in patients with LEMS combined with tracheostomy,targeted rehabilitation exercises and nursing should be provided according to the patient’s actual condition in order to control and improve the patient’s health status.

关 键 词：LAMBERT-EATON肌无力综合征 气管切开 康复护理 

分 类 号：R473[医药卫生—护理学]