寻常型天疱疮患者的护理体会

Clinical nursing experience on treating patients with pemphigus vulgaris

目的通过对寻常型天疱疮患者进行临床观察，探讨寻常型天疱疮的临床特点及有效护理对策。方法对我院2008年1月至2011年1月收治的52例寻常型天疱疮患者的临床特点及护理情况进行回顾性分析。结果所有患者除1例高龄（86岁）男性患者因合并严重内科疾病转院治疗，1例男性患者（57岁）住院1个月后因原发胃癌死亡外，其余均无并发症发生，临床治愈率为96．2％。结论对寻常型天疱疮患者住院期间，实施了有效的心理护理、精心的创面护理、严密的保护性隔离、预防并发症的发生、合理的饮食指导和健康教育，从而预防或控制了各类感染的发生，使患者在生理、心理上均获得康复。

Objective To investigate the clinical feature and the effective nursing strategy on treatment for pemphigus vulgaris by clinical observation.Methods The clinical nursing data for 52 patients with pemphigus vulgaris from January 2008 to January 2011 were retrospectively analyzed. Results 1 elderly male patient （86 years old） with severe disease of internal medicine was transferred to other hospital for further treatment. 1 male patient （57 years old） who had a history of gastric cancer died 1 month after discharge. No complication occurred in other patients. The clinical healing rate was 96.2%.Conclusions The effective psychological nursing, careful wound nursing, strict protection isolation, prevention against complication, reasonable dietary guidance and health education can be carried out to patients with pemphigus vulgaris during the whole hospitalization. These nursing measures can not only prevent and control a variety of infection, but also promote physiological and psychological rehabilitation.