蛛网膜下隙出血患者水钠紊乱的影响因素及护理  

Factors Analysis and Nursing Strategy of Water-saline Disorder of Subarachnoid Hemorrhage

作　　者：郭小叶[1] 魏艳[1] 赵书敏[2] 

机构地区：[1]西安交通大学医学院第一附属医院神经外科,陕西西安710061 [2]西安交通大学医学院第一附属医院护理部

出　　处：《解放军护理杂志》2014年第11期45-47,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：陕西省"13115"科技创新工程重大科技专项计划资助项目(2008ZDKG-66)

摘　　要：探讨蛛网膜下隙出血（subarachnoid hemorrhage,SAH）患者水钠紊乱的影响因素及护理对策.方法回顾性分析并总结西安交通大学医学院第一附属医院2007年1月至2012年6月收治的183例 SAH 患者的临床资料.结果水钠紊乱多发生在 SAH 患者发病后的5-8 d 内,主要表现为低血钠,占85．5％.SAH 患者水钠紊乱与 Hunt-Hess 分级、抗利尿激素分泌异常综合征（inappropriate antidiuretic hormone secretion,SIADH）、脑盐耗综合征（cerebral salt wasting syndrome, CSWS）及颅内压增高有关.结论护理人员应高度重视对 SAH 患者水钠代谢的持续监护,针对产生水钠紊乱的影响因素及早采取有效的护理对策,从而改善 SAH 患者的预后.Objective To explore the related factors that affect water-saline disorder in patients with subarachnoid hemorrhage and its nursing strategy.Methods Clinical data of 183 cases of SAH were analyzed retrospectively.Results Water-saline disorder occurred within 5 to 8 days of the onset of the main manifestations of hyponatremia, accounting for 85.5%.The SAH patients water-saline disorder was related to the Hunt-Hess graded,inap-propriate antidiuretic hormone secretion,cerebral salt wasting syndrome and intracranial hypertension. Conclusion Nurses should pay attention to the continuous supervision of water-saline metabolism,and take early and targeted nursing strategies based on the related factors of water-saline disorder to improve SAH patient’s prognosis.

关 键 词：蛛网膜下隙出血 水钠紊乱 护理 

分 类 号：R743.35[医药卫生—神经病学与精神病学]