甲氨喋呤治疗中重度银屑病的观察及护理  

Nursing about using methotrexate to cure moderate and severe psoriasis

作　　者：王艳芳[1] 林仕英[1] 张文君[1] 师晋萍[1] 张锡宝[1] 

机构地区：[1]广州市皮肤病防治所护理部,510095

出　　处：《中国实用护理杂志》2006年第2期5-7,共3页Chinese Journal of Practical Nursing

基　　金：广东省医学科学技术研究基金资助(编号:A2004581);广东省重点科技攻关项目(99050)

摘　　要：目的探讨甲氨蝶呤(MTX)治疗中重度银屑病的护理要点及方法。方法对使用甲氨蝶呤治疗的41例中重度银屑病患者进行心理及医学教育方面的临床护理,增加病人对治疗的配合及顺应性。评估临床疗效及护理的作用。结果全部接受治疗的41例中重度银屑病患者,有效率80.5%。除1例患者因白细胞下降而退出治疗外,其余患者的治疗顺应必琢有效率明显提高。结论MTX对于中重度银屑病具有良好的疗效,但必须进行深入的临床护理及医学教育,以提高患者顺应性及治愈疾病的信心。在认真的护理观察之下,MTX治疗中重度银屑病是安全的。Objective To explore the methods and the nursing points during the course of using methotrexate to cure moderate and severe psoriasis. Methods 41 moderate and severe patients with psoriasis have been adopted in this study. The procedure of nursing care included medical education, clinical care and psychological nursing in order to increase the compliance of patients. Results All the patients have accepted the therapy of using methotrexate to cure psoriasis, the effective rate was 80. 5%, only one case have withdrawed from the study because of leucopenia. The compliance of patients have increased significantly. Conclusion Using methotrexate to cure psoriasis is effective and safe, which can increase the compliance and the confidence of patients.

关 键 词：银屑病 甲氨喋呤 护理 

分 类 号：R473.75[医药卫生—护理学]