肝移植术后重症监护期病人精神状态异常的原因分析及护理  

Causative Analysis and Nursing Care of Patients Underwent Liver Transplantation Developed Insanity During the Intensive Care Monitoring Period

作　　者：叶桂荣[1] 赵代红[1] 吴晓敏[1] 张玉兰[1] 江海霞[1] 方妹妮[1] 

机构地区：[1]中国人民解放军第一军医大学南方医院

出　　处：《护理研究》2003年第04A期377-379,共3页Chinese Nursing Research

摘　　要：目的 :探讨肝移植病人术后出现精神状态异常的原因及最佳护理措施。方法 :收集 10例肝移植病人术后重症监护期间各项临床指标和实验检查结果 ,并用镇静 -激越评分系统(SAS)将病人分为激越组和对照组 ,比较两组各种数据。结果 :激越组与对照组病人在性别、年龄以及术后肝肾功能状态、普乐可复 (FK5 0 6)血浓度等方面的差异无统计学意义 ;而在心率、呼吸、血压、静脉使用FK5 0 6的时间、体内留置导管数等方面 ,两组差异具有统计学意义。结论 :肝移植病人手术后在重症监护期间出现精神状态异常是综合因素作用的结果。积极采取针对性的治疗、护理措施 ,可减轻精神状态异常的程度 。Objective:to approach the causes of post-operative patients underwent liver transplantation developed insanity and the best nursing measures for it. Method: all clinical indexes and laboratory outcomes of a total of 10 cases post-operative patients underwent liver transplantation were collected and divided into agitation group and control group by adopting the sedation-agitation scale (SAS) system. All data of patients of the two groups were compared. Results: in terms of sex, age, liver and renal function of post-operation, and serum FK506 concentration, there was no significant difference between patients of the two groups. However, there was statistical significance between the two groups in terms of patients' heart rate, respiration rate, blood pressure, duration of intravenously using of FK506, and numbers of indwelling catheters.Conclusion:it was resulted from the comprehensive factors that post-operative patients underwent liver transplantation developed insanity during their intensive care monitoring period. By providing appropriate treatment and nursing care for them could abate the degree of their insanity.

关 键 词：肝移植 术后 重症监护期 病人 精神状态异常 原因分析 护理 

分 类 号：R473.6[医药卫生—护理学]