自体外周血干细胞移植期间腹泻原因分析及护理对策  

Diarrheas during autologous peripheral blood stem cell transplantation and nursing strategies

作　　者：姚丽[1] 杨凤蕊[1] 杨洪霞[1] 赵闽[1] 

机构地区：[1]南京军区南京总医院肾脏病研究所干细胞移植中心,南京210002

出　　处：《现代临床护理》2013年第2期34-37,共4页Modern Clinical Nursing

摘　　要：目的探讨自体外周血干细胞移植(autologous peripheral blood stem cell transplantation,APBSCT)患者移植期间腹泻发生原因,并总结护理对策。方法对23例APBSCT患者腹泻原因进行回顾性调查分析,了解腹泻发生原因。结果 23例患者腹泻发生原因:预处理化疗药物毒性因素15例,抗生素应用因素2例,胃肠动力药物因素2例,免疫力下降导致肠道感染因素2例,疾病因素2例,经采取措施后均缓解。结论 APBSCT相关腹泻可由预处理化疗药物毒性、感染、药物等多种因素引起,护理工作中,护士要正确评估,采取针对性护理措施,加强患者病情观察,提高防范意识,降低腹泻发生率,促进患者恢复,提高患者生活质量。Objective To investigate the causes of diarrhea during autologous peripheral blood stem cell transplantation （APBSCT） and summarize the nursing strategies. Method The histories of 23 APBSCT patients suffering from diarrheas were retrospectively reviewed to find out the causes of diarrhea and summarize the nursing strategies. Results The main causes of the diarrheas included the toxicity of pretreatment chemotherapy drugs in 15 cases, antibiotics in 2 cases, gastrointestinal mptility drugs in 2 cases, intestinal infections from decreased immunity in 2 cases and other diseases in 2 cases, all recovered by corresponding managements. Conclusions APBSCT-associated diarrheas may be caused by chemotherapy drug toxicity, infections, drugs and other factors. So the nurses should evaluate them correctly, adopt corresponding nursing measures, strengthen the observation of patients＇ condition and raise awareness of prevention for the purpose of reducing the incidence of diarrhea, promoting the recovery of patients and improving the quality of life.

关 键 词：自体外周血干细胞移植 腹泻 护理 

分 类 号：R473.5[医药卫生—护理学]