重型药物性肝炎患者护理策略.docVIP

重型药物性肝炎患者护理策略 　　[摘要] 目的：分析32例重型药物性肝炎患者的临床特征，强化特色护理和整体护理实践，以提高重型肝炎患者的治疗效果及降低病死率，提高患者的生存质量。方法：针对重型肝炎及其并发症的特点，通过内科的综合治疗，结合中医体征鉴别，给予个性化的饮食指导、用药护理和心理护理。结果：32例重型药物性肝炎患者中好转22例(68.8%)，死亡8例(25.0%)，放弃治疗自动出院2例(6.2%)，平均住院时间为28.75 d。结论：重型药物性肝炎患者的个性化饮食指导，体现了中医学同病异治、同病异食的理念，特色护理充实了整体护理内涵，对提高重型药物性肝炎患者的存活率和康复具有临床指导意义。 　　[关键词] 药物性肝损害；重型肝炎；饮食护理；整体护理 　　[中图分类号] R473.5[文献标识码]C [文章编号]1674-4721（2010）11（b）-101-03 　　 　　Care strategies for patients with severe drug-induced hepatitis 　　ZHANGTingting, HAN Yaping 　　(Department of Infectious Diseases, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province, Nanjing 210029, China) 　　[Abstract] Objective:Aimed to analyse the clinical characteristics of 32 patients with severe drug-induced hepatitis, enhance the practice of unique nursing and holistic nursing, improve the therapeutic effect and reduce the fatality rate, ameliorate their quality of life. Methods:Based on the characteristics of severe hepatitis and its complications, comprehensive medicine treatment, signs of Traditional Chinese Medicine, gave the patients individualized dietary guidance, medication nursing and psychological care. Results: 22 cases (68.8%) of 32 changed for the better,8 cases (25.0%) died,2 cases(6.2%)automatically discharged, the average hospital stay was 28.75 days. Conclusion: Individualized dietary guidance for the patients with severe drug-induced hepatitis embodies the concept of different treatment for the same disease and different diet for the same disease of Traditional Chinese Medicine.Unique nursing enriches the connotation of holistic nursing. Both of them are of great significance to improve the survival rate and promote rehabilitation of patients with severe drug-induced hepatitis. 　　[Key words] Drug-induced liver injury； Severe hepatitis； Diet nursing； Holistic nursing 　　 　　肝脏是人体最重要的代谢器???，它既是药物代谢的主要场所，也是药物毒性反应的主要靶器官，近年来，随着药物种类的不断增多，药物性肝病的患者不断增加，其中药物不良反应占整个住院患者的0.6%，因药物性肝衰竭死亡占所有住院患者死亡数的0.3%[1]。为此，笔者根据该疾病的临床特点和不同患者的具体情况