对淋巴细胞性垂体炎患者的临床观察及护理  

Clinical observation and nursing of inpatient with lymphocytic hypophysitis

作　　者：孟俊华[1] 李榕彬[1] 唐果[1] 王磊[1] 冀红美[1] 

机构地区：[1]解放军总医院内分泌科,北京100853

出　　处：《军医进修学院学报》2011年第8期847-848,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的提高对淋巴细胞性垂体炎的认识,总结护理经验。方法回顾性分析51例淋巴细胞性垂体炎的临床特点、治疗、护理。结果临床表现以垂体功能低下、头痛和尿崩症最为常见。病理学上有典型的淋巴细胞性浸润;影像学上,病变不局限于鞍区和垂体柄,还可侵犯周围组织。激素冲击治疗病情可有效缓解。结论通过对患者进行针对性的心理护理、健康教育、激素冲击前后的护理,改变了患者心理状态,取得了良好的治疗效果。Objective To improve the understanding of lymphocytic hypophysitis by summarizing the experience in nursing of the patients.Methods Clinical characteristics,treatment,and nursing of 51 lymphocytic hypophysitis patients were retrospectively analyzed.Results The common clinical manifestations of lymphocytic hypophysitis were hypopituitarism,headache,and diabetes insipidus,with typical lymphocyte infiltration in pathology,and lesions not limited to the saddle area and pituitary stalk extending into the surrounding tissue on imaging.High dose methylprednisolone therapy could effectively relieve the disease.Conclusion Good results can be achieved in treatment of lymphocytic hypophysitis by improving the mental state of patients via psychological nursing and health education before and after high dose methylprednisolone therapy.

关 键 词：垂体功能减退症 尿崩症 糖皮质激素 护理 淋巴细胞性垂体炎 

分 类 号：R473.5[医药卫生—护理学]