针对性护理干预对小儿结核性脑膜炎颅内高压的效果研究  

Study on the Effect of Targeted Nursing Intervention on Children with Tuberculous Meningitis and Intracranial Hypertension

作　　者：王敏杰 WANG Minjie(Department of Infection,Zhoukou Infectious Disease Hospital,Zhoukou 466000,China)

机构地区：[1]周口市传染病医院感染科,河南周口466000

出　　处：《临床医学工程》2020年第7期965-966,共2页Clinical Medicine & Engineering

摘　　要：目的探讨针对性护理干预对小儿结核性脑膜炎颅内高压的效果。方法选取我院2017年1月至2019年12月收治的结核性脑膜炎合并颅内高压患儿70例,随机分为对照组与观察组各35例。对照组采用常规护理及健康教育,观察组在对照组基础上采用针对性护理干预。比较两组的颅内压、并发症发生率及父母护理满意度。结果干预后,观察组的颅内压及脑疝、引流管堵塞、引流管脱落移位、感染发生率低于对照组,患儿父母护理满意度高于对照组(P <0.05)。结论针对性护理干预可降低结核性脑膜炎合并颅内高压患儿的颅内压与并发症发生率,提高患儿父母的护理满意度,值得临床应用推广。Objective To explore the effect of targeted nursing intervention on children with tuberculous meningitis(TBM)and intracranial hypertension.Methods 70 TBM children with intracranial hypertension admitted to our hospital from January 2017 to December 2019 were selected and randomly divided into control group and observation group,with 35 cases in each group.The control group was given routine nursing and health education,and the observation group was given targeted nursing intervention on the basis of the control group.The intracranial pressure,incidence of complications and parents'nursing satisfaction degree were compared between two groups.Results After intervention,the intracranial pressure,and the incidences of cerebral hernia,blockage of drainage tube,dropping and displacement of drainage tube,and infection in the observation group were lower than those in the control group,and the parents'nursing satisfaction degree was higher than that in the control group(P<0.05).Conclusions Targeted nursing intervention can reduce the intracranial pressure and incidence of complications in TBM children with intracranial hypertension,and improve parents'nursing satisfaction degree,which is worthy of clinical application and promotion.

关 键 词：针对性护理干预 小儿 结核性脑膜炎 颅内高压 

分 类 号：R473.72[医药卫生—护理学]