促肾上腺皮质激素联合咪达唑仑治疗首发婴儿痉挛症的护理  

Nursing care of patients with first infant spasm receiving adrenocorticotropic hormone combined with midazolam therapy

作　　者：陈平华[1] 

机构地区：[1]浙江大学医学院附属儿童医院

出　　处：《全科护理》2014年第19期1746-1747,共2页Chinese General Practice Nursing

摘　　要：[目的]总结促肾上腺皮质激素(ACTH)联合咪达唑仑治疗首发婴儿痉挛症的护理。[方法]对10例首发婴儿痉挛症患儿采用ACTH联合咪达唑仑治疗,之后过渡到口服醋酸泼尼松与硝基安定,用药前做好解释宣教工作,用药时密切观察,加强护理,及时干预。[结果]治疗后完全控制痉挛发作7例,减轻发作3例;治疗后再次行1次长达2h的视频脑电图检查,高峰失律波消失4例;10例患儿出院后定期门诊复查,抽搐控制良好。[结论]加强首发婴儿痉挛症患儿行ACTH联合咪达唑仑治疗的护理有利于预后。Obj ective：To summarize the nursing care of children with first infant spasm receiving adrenocorticotropic hormone combined with midazo-lam therapy.Methods：A total of children with first infant spasm received adrenocorticotropic hormone combined with midazolam therapy,and then transition to the oral prednisone acetate and nitrazepam,doing well explain and mission work before medication and close observation in medication, then to strengthen the nursing and timely intervention.Results：Seizures in 7 cases was completely controlled after treatment,and seizures was alleviated in 3 cases;after treatment the patients received the 2 h video EEG again, peak imperfectly wave disappeared in four cases;10 cases of children received regular review after discharging,and find that convulsions well controlled.Conclusion：To strengthen the nursing care of children with first infant spasm receiving adrenocorticotropic hormone combined with midazolam therapy is beneficial for prognosis.

关 键 词：婴儿痉挛症 促肾上腺皮质激素 咪达唑仑 护理 

分 类 号：R473.72[医药卫生—护理学]