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老年脑肿瘤病人手术前护理临床效应
引用本文:程淑平,周阿南,戚秀红.老年脑肿瘤病人手术前护理临床效应[J].现代生物医学进展,2007,7(8):1276-1277.
作者姓名:程淑平  周阿南  戚秀红
作者单位:哈尔滨医科大学附属肿瘤医院神经外科,哈尔滨,150040
摘    要:目的:总结老年脑肿瘤病人手术前的护理临床效应。方法:分析60例60-80岁脑肿瘤病人的临床及护理资料,根据老年人生理心理特点,有针对性的进行心理护理;对症护理;术前给予正确的护理评估;合理选择血管与输液的观察,并进行术前其他准备。结果:全部病人的合并症经术前处理稳定。病人术前恐惧心理消失,认知功能提高;对呕吐频繁、颅压高头痛和癫痫发作的的病人经药物治疗对症护理症状均缓解,无坠床等意外发生;整体评估患者的心、肺、肾等功能,术前合并原发高血压、糖尿病与慢性支气管炎病例,得到良好控制;采用静脉留置针,效果良好,无静脉炎及静脉血栓的发生。本组病例术中术后病情无加重及并发症发生。结论:根据老年人生理心理特点,有针对性加强术前护理是提高手术成功率,减少术后并发症和病死率的重要措施。

关 键 词:老年人  脑肿瘤  手术前护理
文章编号:1673-6273(2007)08-1276-02
修稿时间:2007-01-112007-02-20

The Preperative Nursing Care of the Senile Patients with Cerebral Tumor
CHENG Shu-ping,ZHOU A-nan,QI Xiu-hong.The Preperative Nursing Care of the Senile Patients with Cerebral Tumor[J].Progress in Modern Biomedicine,2007,7(8):1276-1277.
Authors:CHENG Shu-ping  ZHOU A-nan  QI Xiu-hong
Institution:Department of Neurosurgery, the Tumor Hospital, Harbin Medical University, Harbin 150040, China
Abstract:Objective:to summarize the preoperative nursing care of the senile patients with cerebral,tumor.Methods:to analyze the clinical and nursing material of 60 patients with cerebral tumor ranged from 60 to 80 years old,according to their phys- iological and mental characteristic,and to nurse with pertinence.Results:all the complications are stable after preoperative treat- ment.the properative psychological fear of patients disappear,cognitive functions improve;the patients who vomit frequently,have higher encephalic pressure,headache and epileptic attack,all the symptoms alleviate after medication and nursing care,no accidents such as falling out of bed occur;to globally assess the cardiac function,respiratory function and renal function of patients,the cases which with primary hypertension?diabetes mellitus and chronic bronchitis before operation all get excellent control;the using of superficial vein catheter shows a good long term effect,no phlebitis and phlebothrombosis occur,the preoperative and postoperative disease situation is in steady state,and no complications occur in this group,no aggravation and no complications happen after op- eration.Conclusion:according to the physiological and mental characteristic of the elderly,to potentiate the preoperative nursing care with pertinence is the significant measure of increasing the operation achievement of increasing the operation achievement ratio, as well as reducing the post-operation complications and case fatality rate.
Keywords:Senile patients  Cerebral tumor  Preoperative nursing care
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