外伤性蛛网膜下腔出血持续腰池引流的护理干预.pdfVIP

• 1894 • 西部医学 2013 年 12 月第 25 卷第 12 期 Med J West China ,December 2013 , Vo l. 25 , No.12 外伤性蛛网膜下腔出血持续腰池引流的护理干预 金 f心，雷文雁，周明静 (重庆市渝北区人民医院神经外科，重庆 401120) E摘要】 目的 探讨持续腰池引流治疗外伤性蛛网膜下腔出血的临床疗效及护理干预价值。方法 将 68 例外伤 性蛛网膜下腔出血行持续腰池引流的患者随机分为对照组和观察组各 34 例，观察组患者进行术前、术中、术后神经外科 专科护理干预，对照组用神经外科常规护理，比较两纽疗效及并发症的发生情况。结果 两纽均无死亡，恢复良好，生活 能自理。并发症发生情况g 对照纽颅内感染 10 例，观察纽 3 1fHl=4.66 , PO. 05); 对照纽引流管堵塞 13 例，观察组 5 例l =4. 84 ,P0. 05); 对照组发生穿串)部位脑脊液漏 8 例，观察组 2 例 l =4.21 ,PO. 05 )。结论 持续腰池引流 可减轻血性脑脊液对脑及脑膜的剌激，促进脑券液的循环和吸收，缓解脑血管痊孪，改善脑缺血情况，减轻脑水肿和脑梗 死的发生，还可避免反复腰穿对患者带来的痛苦。有针对性的专科护理有利于减少并发症，提高疗效，利于患者康复。 E关键词】 外伤性妹网膜下腔出血;持续且要池引流;护理千预 【中图分类号】 R473.74 [文献标志码】 A doi: 10. 3969/j. issn. 1672-3511. 2013.12.049 Investigation of nursing intervention of continuous lumbar drainage in treatment of traumatic subarachnoid hemorrhage JIN Qin , LEI Wen-yan , ZHOU Ming-jing (Yubei Peoples Hospital. Chongqing 401120 , China) [Abstractl Objective To investigate the clinical efficacy and nursing intervention in treatment of traumatic sub- arachnoid hemorrhage with continuous lumbar drainage. Methods 68 cases of traumatic subarachnoid hemorrhage treated with continuous lumbar drainage were randomly divided into the observation group and the control group. The observa- tion group of patients received a neurosurgery specialist care , while the control group received a regular care. Their com- plications were compared. Results The control group had 10 cases of intracranial infection , 13 cases of drainage tube blockage , and 8 cases of leakage of cerebrospinal f1 uid from the puncture sites , while the observation group had only 3 ca-