《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (07): 694-696.

• 康复护理 • 上一篇    下一篇

大剂量激素冲击治疗的护理

郑莉莉;任素梅;冉敏   

  1. 武警总医院神经内科，北京市 100039
  • 收稿日期:2009-05-19 修回日期:2009-06-10 出版日期:2009-07-01 发布日期:2009-07-01
  • 通讯作者: 冉敏

Nursing Care for Patients Accepting Pulse Steroid Therapy

ZHENG Li-li,REN Su-mei,RAN Min   

  1. Department of Neurology, General Hospital of Chinese Armed Police Force, Beijing 100039, China
  • Received:2009-05-19 Revised:2009-06-10 Published:2009-07-01 Online:2009-07-01

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摘要： 目的 建立大剂量激素冲击护理方法，并对其护理结果进行评价。方法 回顾性地分析2005～2008年间在我科接受激素冲击治疗78例患者的临床资料，其中2007～2008年间收治的42例患者同时接受激素冲击护理（激素冲击护理组），2005～2006年间收治者36例，没有接受标准化激素冲击护理（常规护理组）。结果 在治疗3周后，激素冲击护理组出现肌无力8例，睡眠障碍18例; 常规护理组出现肌无力16例，睡眠障碍25例（P<0.05）。结论 激素冲击标准化的护理方法可以减少大剂量激素冲击治疗后肌无力和睡眠障碍的发生。

关键词: 激素冲击治疗, 护理, 并发症, 肌无力, 睡眠障碍

Abstract: Objective To establish the nursing care for the patients with pulse steroid therapy, and to investigate its effect. Methods 78 patients who accepted pulse steroid therapy in the past 4 years were analyzed retrospectively, in which, 42 within past 2 years （2008 and 2007) were as pulse steroid nursing care group, and other 36 patients before 2 years (2007 and 2006) were as routine nursing care group. Results 3 weeks after the pulse steroid therapy, in pulse steroid nursing care group, proximal muscle weakness were found in 8 patents, insomnia in 18 patients; while in routine nursing care groups, proximal muscle weakness were found in 16 patents, and insomnia in 25 patients（P<0.05）. Conclusion Pulse steroid nursing care can reduce the incidence of muscle weakness and insomnia after pulse steroid therapy significantly.

Key words: pulse steroid therapy, nursing, complication, muscle weakness, insomnia