Search

重症病毒性脑炎伴低颅压综合征护理一例

拉莫三嗪致重症多形红斑综合征护理一例

线粒体脑肌病的护理体会一例

Analysis of the Apoplexy Score and Blood Pressure of the Cerebral Infarction Patients with Recombinant Human Tissue Fibrinolytic Enzyme Original Activators Thrombolysis

【摘要】　目的　对脑梗死患者施行静脉溶栓治疗前后的相关状况和指标进行评价分析。　方法　2003年1月-2010年11月对神经内科收治的29例脑梗死患者予以静脉溶栓治疗及护理，并就治疗前后各相关时间点血压监测及美国国立卫生研究院卒中量表（National Institute of Health stroke scale，NIHSS）评分情况进行分析。　结果　溶栓前后血压对比显示:溶栓后2 h收缩压相对于溶栓前和溶栓后24 h升高（Plt;0.05）；溶栓前后NIHSS评分差异有统计学意义（Plt;0.05）。　结论　溶栓后患者收缩压出现升高，护理上应该加强血压监控，为临床治疗提供支持。【Abstract】　Objective　To investigate the correlated condition and clinical index changes before and after the intravenous thrombolysis of the cerebral infarction patients.　Methods　The blood pressure and the National Institutes of Health stroke scale (NIHSS) score of 29 cerebral infarction patients with the intravenous thrombolysis treatment between January 2003 and November 2010 were measured and analyzed.　Results　Two hours after the thrombolysis, the systolic blood pressure significantly increased compared with those before the intravenous thrombolysis and 24 hours after intravenous thrombolysis （P＜0.05）. NIHSS score was significantly decreased after the thrombolysis （P＜0.05）.　Conclusions　Systolic blood pressure significantly increases after the intravenous thrombolysis. Intensive blood pressure monitoring and controlling may be beneficial to the treatment and prognosis.

妊娠期并视神经脊髓炎复发护理一例

丙戊酸钠致重症多形红斑型药疹一例

品质圈管理模式在神经内科护理管理中的运用

目的　 探讨品质圈管理模式在神经内科护理管理中的运用及效果。 方法　2011年1月起引入品质圈管理模式，并针对神经内科患者疾病特点采用特殊时段舒适护理，且对舒适护理的运行效果进行分析。 结果　舒适护理品质圈管理实施后，患者平均满意度得分由实施前的94.45分上升为96.19分，满意度有一定提高；病房平均用电量由实施前的13 535 kW·h下降至12 400 kW·h，用电量有明显下降。 结论　品质圈管理模式为科室的建设发展和舒适护理方式的尝试与确立奠定了一定的基础。

Braden量表在神经内科压疮预防中的应用

目的　评价Braden量表在神经内科的应用意义。 方法　将Braden量表应用于2011年8月－10月住院患者，统计其压疮发生的低、中、高、极高危患者，并根据评分结果进行分层管理。 结果　该期间共评估2 435例患者，无危险者1 630例（66.94%），低危者485例（19.92%），中危者148例（6.08%），高危者98例（4.02%），极高危者74例（3.04%）。无院内可避免压疮发生，也未发生由皮肤护理引发的护患纠纷。 结论　Braden量表的使用提高了护士对发生压疮危险的早期判断能力，工作更有针对性,更利于压疮的分层管理。

脑卒中成功溶栓一例的就诊时间探讨

Clinical Evidence on Nursing Care for Patients with Pressure Sore

Objective　To investigate the current status of randomized controlled trials (RCTs) and clinical controlled trials (CCTs) on pressure sore in China. Methods　We searched Chinese Journal of Nursing, Chinese Journal of Practical Nursing and Journal of Nurses Training in CNKI and VIP (January 2000 to December 2005) for Chinese articles on pressure sore, using "pressure sore", "bed sore", "nursing", "treatment", "prevention", "evaluation" and "management" as search terms. The retrieved articles were summarized. Results　We identified 16 reports (10 RCTs and 6 CCTs). The studies were judged to be of low quality.There was one study on the evaluation, two on the prevention, and 13 on the treatment of pressure sores. Conclusion　The current studies on pressure sore in China are focusing on treatment. Randomized controlled trials of large sample size of pressure sore are needed to improve nursing quality.