腦室—腹腔分流術治療正常壓力腦積水的護理心得

【摘 要】 目的 觀察腦室-腹腔分流術治療正常壓力腦積水患者期間所采用的護理措施的臨床效果。方法 抽取我院2009年1月-2011年12月期間收治的30例接受腦室-腹腔分流術治療正常壓力腦積水的患者，并隨機將其分為兩組，每組各15例。給予對照組患者常規護理措施，給予觀察組患者整體護理措施。對兩組患者治療期間護理措施的臨床效果進行對比。結果 對兩組患者臨床治療效果進行對比，觀察組患者總有效率為86.67%，對照組有效率為66.67%，觀察組治療效果優于對照組，且觀察組患者對護理服務的滿意度更高。結論 對采用腦室-腹腔分流術治療正常壓力腦積水的患者實施整體護理，臨床效果顯著，值得推廣和應用。

【關鍵詞】 腦室-腹腔分流術；正常壓力腦積水；護理

【中圖分類號】 R473.6 【文獻標識碼】 B

Ventricle - peritoneal shunt treatment of normal pressure hydrocephalus nursing experience

Li Nan

（Shangqiu City， Henan Province People's Hospital Neurosurgery Division One，Shangqiu，476100）

【Abstract】 Objective To observe the ventricle-peritoneal shunt used in the treatment of clinical effects of normal pressure hydrocephalus patients during care measures. Methods Extraction our hospital from January 2009 to December 2011 period 30 patients received ventriculo-peritoneal shunt treatment of normal pressure hydrocephalus patients were randomly divided into two groups， each of 15 cases. Routine nursing care given to patients in the control group ， given the overall nursing care of patients in the observation group . The clinical effects of nursing interventions in patients during treatment groups were compared. Results The two groups of patients were compared clinical outcomes observed in patients total effective rate was 86.67 % in the control group was 66.67% ， Treatment observation group than the control group ， and higher satisfaction of care of patients in the observation group. Conclusion using the ventricle - the treatment of patients with peritoneal shunt normal pressure hydrocephalus implementation of the overall care， significant clinical effect ， worthy of promotion and application .

【Keywords】 ventricle-peritoneal shunt；normal pressure hydrocephalus；Care

腦積水發病的主要原因在于顱腦內部發生疾患，造成分泌的腦脊液數量增多，出現吸收障礙等現象，致使顱腦內的腦脊液數量增多，最終導致腦室系統不斷出現擴大等現象。腦積水患者在臨床上主要表現為頭痛、眩暈、嘔吐、視力模糊等癥狀[1]。本次研究主要對采用腦室-腹腔分流術治療正常壓力腦積水患者的護理臨床措施及效果進行分析，現將結果總結匯報如下。

1 資料與方法

1.1 一般資料 30例患者均為我院2009年1月-2011年12月之間收治的采用腦室-腹腔分流術治療正常壓力腦積水的患者。采用隨機分組方式將其分為觀察組與治療組，每組各15例。其中觀察組患者男9例，女6例，患者年齡在55-79歲之間，平均年齡為（68.12±1.56）歲，病程6-17個月，平均病程為（10.23±0.69）個月。……