护理干预对重型颅脑外伤后脑性盐耗综合征患者病情的影响

Effect of nursing intervention on the conditions of the patients with cerebral salt wasting syndrome caused by severe brain injury

目的：探讨护理干预对重型颅脑外伤后脑性盐耗综合征（CSWS）患者病情的影响。方法：观察1997年12月-2002年12月未进行早期护理干预的33例CSWS患者（对照组）以及2003年1月-2008年1月进行早期护理干预35例CSWS患者（护理干预组）的情况,比较两组发现CSWS出现的时间,血钠、尿钠和CVP恢复正常的时间,以及病死率。结果：护理干预组发现CSWS出现时间明显短于对照组,差异有统计学意义（P〈0.05）;对照组死亡5例（病死率15.09%）,护理干预组无死亡记录。护理干预组患者恢复血钠正常时间明显少于对照组（P〈0.01）,尿钠以及CVP恢复正常的时间少于照组（P〈0.05）。结论：护理干预能提早发现重型颅脑外伤患者CSWS的出现,缩短血钠、尿钠以及CVP恢复正常的时间,促进患者早日康复。

Objective. To explore the effect of nursing intervention on the conditions of the patients with cerebral salt wasting syndrome （CSWS） caused by severe brain injury. Methods： 33 patients who were admitted to the hospital from December 1997 to December 2002 and not given early nursing intervention were taken as control group; the other 35 patients who were admitted to the hospital from January 2003 to January 2008 and given early nursing intervention were taken as intervention group. The time of appearance of CSWS and the time for serum sodium, urinary sodium and CVP to return to normal level and mortality were compared between the two groups. Results ： The time of appearance of CSWS was obviously shorter in intervention groupthan that in control group （P 〈 0. 05） ; 5 patients died in control group （mortality 15.09% ） and no patient died in intervention group. The time for serum sodium, urinary sodium and CVP to return to normal level was shorter in intervention group than that in control group （P 〈 0. 01, P 〈 0. 05）. Conclusion： Nursing intervention is conducive to finding the appearance of CSWS earlier and shortening the time for serum sodium, urinary sodium and CVP to return to normal level as well as promoting the recovery of patients.