持续腰大池引流治疗难治性脑脊液漏的护理观察  

Nursing Observation of Continuous Lumbar Cisterna Drainage for Treating Refractory Cerebrospinal Fluid Fistula

作　　者：贺金梅 

机构地区：[1]广东省河源市人民医院神经外科,广东河源517000

出　　处：《临床医学工程》2012年第2期269-270,共2页Clinical Medicine & Engineering

摘　　要：目的探讨持续腰大池引流治疗难治性脑脊液漏护理方法。方法将80例难治性脑脊液漏行腰大池持续引流患者均分为对照组和观察组;对照组:选择性预防性应用抗生素,做好心理护理、基础护理及常规腰大池引流护理,严密观察病情、纱布绷带头部加压包扎;观察组:除对照组护理措施外,腰大池引流导管从3～4腰椎穿刺点水平方向从腰部延伸出来固定在腹部,导管接防返流引流瓶,头部加压包扎用自粘式绷带。结果观察组的住院时间缩短,治愈率提高,脱管率及感染率降低,组间差异有统计学意义(P<0.05)。结论对难治性脑脊液漏行持续腰大池引流治疗的患者,改变腰大池引流导管的固定方法,使用防返流引流瓶,头部加压包扎用自粘式绷带等方式,脱管率减少,降低感染率,缩短住院时间,降低医疗费用,提高治愈率。Objective To explore the nursing methods for refractory cerebrospinal fluid fistula treated with continuous lumbar cisterna drainage. Methods 80 cases of refractory cerebrospinal fluid fistula were divided into control group and observation group. Control group （40 cases）： selective and prophylactic application of antibiotics, conscientious performance of psychological nursing and basic nursing care, strict observation of patients＇ condition, conventional nuring of lumbar drainage, head strengthening bandaging of gauze bandage; observation group （40 cases）： in addition to the nuring methods in control group, the lumbar cistern drainage catheters were extended horizontally from 3 - 4 lumbar puncture points and fastened to the abdomen, while the drainage bottles for anti-reflux were linked to catheters and the head had strengthening bandaging with self-adhesive bandage. Results The observation group had a shorten hospital stay time, high cure rate, lower disjointed and infection rates, the differences between the two groups were statistically significant （P 〈0.05）. Conclusion For patients with refiractory cerebrospinal fluid fistula treated with continuous lumbar cisterna drainage, changing the conventional methods with the use of drainage bottle for anti-reflux and self-adhesive bandage for head strengthening bandaging can decrease the disjointed drainage catheters and infection rates, reduce hospital stay time and medical expenditure, improve the cure rate.

关 键 词：腰大池引流 难治性脑脊液漏 护理 

分 类 号：R473.74[医药卫生—护理学]