Chiari畸形Ⅰ型合并脊髓空洞症患者并发中枢性睡眠呼吸暂停综合征的护理实践  

Nursing practice of patients with Chiari malformation typeⅠand syringomyelia complicated with central sleep apnea syndrome

作　　者：李来娟 范艳竹[1] 陈辰[1] Li Laijuan;Fan Yanzhu;Chen Chen(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,100050

出　　处：《中华现代护理杂志》2020年第31期4370-4372,共3页Chinese Journal of Modern Nursing

摘　　要：目的总结Chiari畸形Ⅰ型(CMI)合并脊髓空洞症(SM)患者并发中枢性睡眠呼吸暂停综合征(CSAS)的护理治疗实践经验。方法回顾性分析2016年1月—2018年12月北京天坛医院神经外科23例CMI合并SM并发CSAS的患者临床资料,所有患者均在全麻情况下行手术治疗,给予术前及术后护理。结果23例CSAS患者术后临床症状及表现均有改善,无术后不良严重并发症的发生。其中5例重度CSAS的患者,术后3个月有明显改善,根据身体情况减少或停止呼吸机辅助通气。结论手术治疗CMI伴SM并发CSAS的效果较好,精细个性化的术前术后护理为提高患者手术成功率及改善预后提供保证。Objective To summarize the nursing and treatment experience of patients with Chiari malformation type I(CMI)and syringomyelia(SM)complicated with central sleep apnea syndrome(CSAS).Methods A retrospective analysis was used to the clinical data of 23 patients with CMI and SM complicated with CSAS in the Department of Neurosurgery of Beijing Tiantan Hospital from January 2016 to December 2018.All patients underwent surgical treatment under general anesthesia,and were given preoperative and postoperative nursing care.Results The clinical symptoms and manifestations of 23 CSAS patients improved after operation,and there were no adverse and serious postoperative complications.There were 5 severe CSAS patients who improved significantly at 3 months after surgery,reduced or stopped ventilator assistance according to their physical condition.Conclusions Surgical treatment for CMI and SM complicated with CSAS is effective,fine and personalized preoperative and postoperative nursing care provides a guarantee for improving the success rate of patients'surgery and improving the prognosis.

关 键 词：Chiari畸形Ⅰ型 脊髓空洞症 中枢性睡眠呼吸暂停综合征 护理实践 

分 类 号：R473[医药卫生—护理学]