肝移植术后神经精神并发症原因分析及护理  

Analysis of the causes of neuropsychiatric complications after liver transplantation and nursing care

作　　者：周明花[1] 尹晓霞[1] 温秀芹[1] 刘军[1] 

机构地区：[1]山东大学附属省立医院,山东济南250021

出　　处：《齐鲁护理杂志（中旬刊）》2011年第9期7-8,共2页Journal of Qilu Nursing

摘　　要：目的:探讨肝移植术后患者神经精神并发症发生原因及护理方法。方法:对162例肝部疾病患者行肝移植术,术后出现神经精神并发症38例,分析其发生原因并提出针对性护理对策。结果:本组术后发生神经精神并发症38例,给予积极处理,死亡2例,其余症状均缓解。肝移植术后神经精神并发症的发生与心理、药物、疾病、手术及是否快速纠正低钠血症等因素有关。结论:肝移植术患者术后易出现神经精神并发症,分析其发生原因,加强针对性护理干预可减少肝移植术后患者神经精神并发症发生,提高手术成功率,促进患者康复。Objective： To analyze the causes of postoperative neuropsychiatric complications of the patients and explore the nursing methods after liver transplantation. Methods： 162 patients with liver disease underwent liver transplantation and the postoperative neuropsychiatric complications occurred in 38 patients after the surgery. The causes were analyzed and the targeted nursing countermeasures were proposed. Results ： The postoperative neurological and psychiatric complications occurred in 38 patients and all of them were given active treatment, 2 patients died and the other patients got remission of the symptoms. The neu- ropsychiatric complications after liver transplantation were related to the factors such as mentality, drugs, disease, surgery, and the correction of hyponatremia. Conclusion ： The patients with Liver transplantation are prone to neuropsychiatric complications after surgery, the correct analysis of the causes and the implementation of specific nursing intervention can reduce the incidence of complications, improve the success rate of surgery and promote the rehabilitation of the patients.

关 键 词：肝移植术 神经精神并发症 相关因素 护理干预 

分 类 号：R473.6[医药卫生—护理学]