依达拉奉治疗PCI疗效观察及护理.doc

依达拉奉治疗PCI疗效观察及护理【摘要】目的 观察依达拉奉治疗进展性脑梗死（PCI）的疗效及护理要点。方法 对50例PCI患者应用依达拉奉30mg入液静脉滴注，每日2次，连用14天；疏血通注射液8ml入液静脉滴注，每日1次，连用14天，同时进行心理护理和健康教育。在治疗前、后进行欧洲卒中量表（ESS）和Barthel指数（BI）评分，并与单用疏血通的对照组比较，两组均对高血压、糖尿病、高血脂、冠心病予以相应的治疗和防治并发症。结果 两组患者治疗后14d、21d时ESS评分和BI均较治疗前明显增高（p＜0.05或p＜0.01），治疗组在治疗14d，21d时ESS评分和BI显著高于对照组（P＜0.05）；治疗21d后治疗组的显效率和有效率显著高于对照组（p＜0.01）。结论 依达拉奉配合良好的护理措施治疗PCI疗效显著。 【关键词】依达拉奉 进展性脑梗死 护理 中图分类号：R473文献标识码：B文章编号：1005-0515（2011）1-158-03 Clinical observation of Edaravone combined on treationg progvess cerebral infarction and nursing care LiujingShi Ben-diWu Ke-liang Department of Neurology, the people’s Hospital of Qixia City, Shandong 265300,China 【Abstract】Objective To observe curative effects of Edaravone combined on treating Progress cerebral infarction and nursing care points.Methods 50 patiets with PCI were applied with Edaravone in 30mg into liquid intravenous drip separately twice a day for 14 days,Shuxuetong 8ml were injected into liquid intravenous drip once-daily for 14 days respectively,at the same time,the psychological nursing and heathy education were proceeded.Europe stroke scale(ESS) and Barthel index(BI)level were tested before and after treatment,compared with the patients treated with only Shuxuetong group, Two groups of patients were to high blood pressure,diabetes,high blood fat,coronary atherosclerotic heart disease to the corresponding treatment and prevention of complications. Results The scores of ESS and BI in two groups of pationts on 14th,21th day wer obviously higher than those before treatment (p 1.3.2基础护理 饮食宜低盐、低脂、清淡、易消化，少食多餐，以4餐/d为宜，多食蔬菜、水果及豆制品，尤其多食富含纤维类青菜，保持大便通畅，合理进食蛋白质。给予翻身、皮肤按摩，保持床铺平整、清洁，预防压疮。加强呼吸道管理，练习深呼吸，做到有效咳痰，预防坠积性肺炎，重度呛咳者给予鼻饲，以防吸入性肺炎和营养不良，对留置导尿管的患者，给予持续夹管，定时放尿，以锻炼膀胱壁的收缩功能，用0.5%碘伏棉球擦洗尿道口，用生理盐水+庆大霉素膀胱冲洗，1次/d，预防泌尿系感染。 1.3.3 康复介入 早期康复训练可促进神经轴突突触联系的建立，有利于对侧大脑半球的功能代偿及功能重组。初发病时应保持患者肢体处于功能位即良肢位，避免挛缩位。在病情稳定的前提下尽早进行功能锻炼，急性期后协助患者进行患肢的主、被动锻炼，无意识障碍者3天后进行起坐训练，有意识障碍但意识已转清者在病后7―10d开始起坐训练，在起坐训练的同时还要训练坐位平衡，对失语患者，经常与其谈话，鼓励患者