普萘洛尔联合脉冲染料激光治疗婴幼儿血管瘤的护理体会  

The nursing experience of propranolol combined with pulsed dye laser to treat infantile hemangioma

作　　者：刘东平[1] 刘小加[1] 王晶[1] 罗明灿[1] LIU Dong-ping;LIU Xiao-jia;WANG Jing;LUO Ming-can(Department of Plastic and Laser Cosmetic Surgery,The People’s Hospital of Hunan Province,Changsha 410005, Hunan, China)

机构地区：[1]湖南师范大学第一附属医院整形&激光美容科,湖南长沙410005

出　　处：《中国美容医学》2016年第11期111-113,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:总结普萘洛尔联合脉冲染料激光治疗婴幼儿血管瘤75例的护理体会。方法:主要包括患儿口服普萘洛尔药物的给药方法,用药宣教;脉冲染料激光治疗术前护理准备工作,治疗时采用"包裹法"和语言交流,增加治疗安全性,协助医生进行激光治疗,治疗后即刻给予创面冷疗和涂抹美宝湿润烧伤膏;患儿出院后给予后续性护理,进行用药指导和药物不良反应的观察、创面护理及观察、预约复诊治疗时间。结果:应用普萘洛尔联合脉冲染料激光治疗婴幼儿血管瘤临床效果显著,优质的护理及开展延续性护理在整个治疗过程中起无缝衔接作用,保证患儿全方位得到护理指导,早日康复。结论:婴幼儿血管瘤治疗是一个长期的过程,患儿的药物护理、激光治疗护理、创面护理及出院后延续性护理对整个治疗过程中起到协同帮助作用。Objective This paper summarizes the nursing experience of propranolol combined with pulsed dye laser in the treatment of 75 cases of infantile hemangioma. Methods This stuty included the children with oral propranolol delivery methods,medication missionary. Preparation of pre-operative nursing care by Pulse Dye Laser treatment. In order to increase the safety of treatment, we used "parcels" and language exchange to reduce children with tampering and fear, assisted the doctor for laser treatment, used cold therapy and smear MEBO for wound immediately after treatment. The patients were given follow-up nursing care after discharge, medication guide and drug adverse reaction of observation,wound care and observation, reservation referral treatment time,let the children do not interrupt the care due to discharge. Results Application of propranolol combined pulsed dye laser treatment of infantile hemangioma clinical effect is remarkable. High quality of nursing and to carry out the continuity of care in the whole treatment process seamlessly. To guarantee children comprehensive nursing instruction, recover at an early date.Conclusion The treatment of infantile hemangioma is a long-term process, drug care, laser treatment, wound care and continuity of care for the whole treatment process to play a cooperative role in the treatment process.

关 键 词：普萘洛尔 脉冲染料激光 婴幼儿血管瘤 护理 

分 类 号：R732.2[医药卫生—肿瘤]