颅骨修补术后癫痫持续状态发作药物干预和优质护理  

Drug Intervention and Quality Care for the Status Epilepticus following Cranioplasty

作　　者：马菲韩 杜晓亮 厉春林[1] MA Feihan;DU Xiaoliang;LI Chunlin(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《中国医学创新》2017年第32期137-140,共4页Medical Innovation of China

摘　　要：目的:探讨颅骨修补术后患者癫痫持续状态(Status Epilepticus,SE)的药物和优质护理干预。方法:回顾性分析2015年9月-2017年3月本院单侧颅骨缺损患者110例颅骨修补术后SE发作患者7例的发病特点,给予有效药物控制和优质护理干预,并分析癫痫发作可能原因。结果:7例患者经抗癫痫药物及优质护理治疗后均康复出院,无因癫痫致死及致残患者。术后SE发作的原因中,术中分离颞肌导致假硬膜破裂损伤脑组织4例,术后发生感染2例,术后硬膜外血肿再次手术清除血肿1例。结论:术中操作影响癫痫发作,术后药物有效干预SE,积极开展优质护理观察病情,对于控制颅骨修补术后SE至关重要。Objective:To explore the drug intervention and quality care for the status epilepeticus following cranioplasty.Method:The clinical features of 7 cases of SE seizures after cranioplasty in 110 patients with unilateral skull defect in our hospital from September 2015 to March 2017 were retrospectively analyzed,the effective drug control and high quality nursing intervention were given,and the possible causes of epileptic seizure were analyzed.Result:7 patients were discharged after treatment with antiepileptic drugs and high quality nursing care,and no death or disability due to epilepsy.The reason of SE attack after operation,4 cases of temporal muscle separation during operation resulted in rupture of the brain tissue by false dura mater rupture,2 cases of postoperative infection,1 case of epidural hematoma after operation were removed again.Conclusion:Intraoperative operation has an effect on epileptic seizure,postoperative effective drug intervention in SE,and actively carry out highquality care to observe the condition,for the control of skull repair after SE is very important.

关 键 词：颅骨修补术 抗癫痫治疗 护理 

分 类 号：R473.6[医药卫生—护理学]