脾脏切除治疗原发性血小板减少性紫癜的疗效观察与护理

The Therapeutic Effect and Nursing of Splenectomy in the Patients with Idiopathic Thrombocytopenic Purpura

目的评价脾脏切除治疗原发性血小板减少性紫癜的疗效并采取相应护理措施促进患者康复。方法观察40例18-55岁ITP患者采取脾脏切除治疗,并采用围手术期心理护理、病情观察、并发症防治、健康教育等方法实施护理,采用出院随访的形式观察其长期疗效。结果通过脾脏切除和采取适当护理措施,患者术后1周内PLT数值较术前有明显升高,无严重并发症。随访示男性有效率为75%,女性有效率为73.33%。结论脾脏切除治疗治疗难治性ITP效果好,适当护理措施有助于患者术后恢复,减少术后并发症并促进疾病康复。

Objective To evaluate the effect of splenectomy in the treatment of idiopathic thrombocytopenic purpura（ITP）and the correspongding nursing measures to be good for the patient＇s recovery.Methods 40 cases of splenectomy patients aged 18-55 with ITP were observed.Before and after operation,we gave patients focused mental nursing,disease observation,healthy education and nursing against complication after operation,and then follow-up to evaluate the therapeutic effect.Results Through splenectomy and appropriate nursing measure,the Platelets（PLT） of the patients increased significantly within one week after splenectomy without serious complications.The follow-up results indicated that male effective rate was 75%,the female is 73.33%.Conclusion Refractory ITP patients with splenectomy had advantages of treatment effection.Proper nursing measures will take advantage of recovery,reduce the complications and promote recovery.