创伤性脑出血术后脑性盐耗综合征的护理干预  

Nursing Intervention of Cerebral Salt Wasting Syndrome after Traumatic Cerebral Hemorrhage

作　　者：念婷婷 张茹茹 NIAN Ting-ting;ZHANG Ru-ru(ICU,Liaocheng Brain Hospital,Liaocheng,Shandong Province,252000 China)

机构地区：[1]聊城市脑科医院ICU,山东聊城252000

出　　处：《系统医学》2020年第13期136-138,共3页Systems Medicine

摘　　要：目的探讨创伤性脑出血术后脑性盐耗综合征的护理干预方法。方法选择2017年10月—2019年11月该院收治的创伤性脑出血患者80例为研究对象,按照随机数字表法分为两组,各40例。对照组实施常规护理,观察组实施该研究针对性护理,比较两组痊愈率,统计两组血钠、尿钠恢复正常时间及住院时间,两组治疗期间出现的并发症。结果观察组痊愈率为95.0%,显著高于对照组的67.5%,差异有统计学意义(χ~2=8.205,P<0.05),观察组血钠恢复正常时间及住院时间均显著早于对照组,差异有统计学意义(P<0.05),治疗过程中观察组出现肺部感染、脑积水、肝功能衰竭及肾功能衰竭的总发生率显著低于对照组(P<0.05)。结论创伤性脑出血术后出现脑性盐耗综合征,实施针对性护理干预,能有效提高痊愈率,促进血钠恢复正常,降低并发症发生率,缩短住院时间。Objective To explore the nursing intervention methods of cerebral salt wasting syndrome after traumatic cerebral hemorrhage.Methods A total of 80 patients with traumatic cerebral hemorrhage admitted to the hospital from October 2017 to November 2019 were selected as the research object.They were divided into two groups according to the random number table method,each with 40 cases.The control group was given routine care,and the observation group was given targeted care for this study.The recovery rates of the two groups were compared,and the time to normalization and hospitalization of blood and urine sodium in the two groups were counted,as well as the complications occurred during the treatment of the two groups.Results The recovery rate of the observation group was95.0%,which was significantly higher than that of the control group 67.5%,the difference was statistically significant(χ~2=8.205,P<0.05).The recovery time of normal sodium and hospitalization time of the observation group were significantly earlier than that of the control group(P<0.05).During the course,the total incidence of pulmonary infection,hydrocephalus,liver failure and renal failure in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion In view of the occurrence of cerebral salt wasting syndrome after traumatic cerebral hemorrhage,targeted nursing intervention can effectively improve the recovery rate,promote normalization of blood sodium,reduce the incidence of complications,and shorten the length of hospital stay.

关 键 词：创伤性 脑出血术后 脑性盐耗综合征 护理 

分 类 号：R473.6[医药卫生—护理学]