NICU难治性颞叶癫痫患者的术后护理  

Postoperative care of patients with refractory temporal lobe epilepsy in the NICU

作　　者：王洁雪[1] 刘帆[1] 

机构地区：[1]四川大学华西口腔医院儿童口腔科,成都市610041

出　　处：《护理实践与研究》2017年第11期51-53,共3页Nursing Practice and Research

摘　　要：目的:探讨NICU难治性颞叶癫痫患者在显微镜下经前颞叶切除术后的护理方法。方法:回顾并分析150例颞叶癫痫患者的临床资料及护理经过,总结此类患者的护理经验。结果:本组患者癫痫发作完全消失103例,癫痫发作减少75%以上35例,癫痫发作减少50%以上7例,无改善5例。10例术后出现心理障碍,其中8例表现为抑郁,2例呈烦躁状态,经心理护理后恢复良好;13例术后出现癫痫发作,及时得到控制;4例精神障碍患者出现攻击行为,出院时恢复正常;2例不全性失语患者改善明显。结论:注重术后心理护理,对术后较特异并发症(癫痫发作、精神障碍、语言障碍)进行相应护理及强调抗癫痫药的专项护理是手术成功的关键,有利于长期控制癫痫发作。Objective：To explore the nursing methods of patients with refractory temporal lobe epilepsy under preoperative temporal lobe resection in the NICU.Methods：The clinical data and nursing of 150 patients with temporal lobe epilepsy were reviewed and analyzed and the nursing experience of these patients was summarized.Results：About 103 patients＇ epilepsy disappeared completely.A total of 35 patients＇ epilepsy outbreak reduced by 75%.A total of 7 patients＆#39;＆#39; epilepsy outbreak reduced by 50%.Only 5 patients showed no improvement.There are 10 patients displaying mental disorders after surgery, among which 8 patients got depression and 2 patients showed irritable state.All of the patients returned to normal situation after psychological care.There were 13 patients showed epilepsy outbreak and were controlled after treatment.There were 4 patients with mental disorders showed aggressive behavior and they were come back to normal situation when discharged from the hospital.There were 2 cases of incomplete aphasia who improved significantly after treatment.Conclusion：It is the key to successful operation of postoperative psychological care and postoperative special care of postoperative specific complications （seizures, mental disorders and language disorders） and to emphasize antiepileptic drugs.It is conducive to long-term control of epilepsy.

关 键 词：颞叶癫痫 前颞叶切除术 心理护理 并发症 术后护理 

分 类 号：R473.6[医药卫生—护理学]