胸腺瘤合并重症肌无力患者的围术期护理体会

Perioperative nursing experience of thymoma patients with myasthenia gravis

目的:对胸腺瘤合并重症肌无力患者围术期护理方法及护理效果进行探讨。方法:选取我院于2008年3月-2013年5月收治胸腺瘤合并重症肌无力胸腺瘤切除患者58例,随机分为两组,其中对照组28例接受常规护理,观察组30例在常规护理基础上实施围术期精心护理干预,对比两组患者术后肌无力危象与肺部感染发生情况。结果:观察组肺部感染发生率与肌无力危象发生率均显著低于对照组(P<0.05)。结论:对胸腺瘤合并重症肌无力患者在常规护理基础上实施围术期护理,可促使肌无力危象与呼吸道并发症发生率显著下降,使患者住院时间大大缩短,能够有效减轻患者自身痛苦与经济负担。

Objective：To investigate the nursing methods and efficacy of thymoma patients with myasthenia gravis. Methods：Our hospital from March 2008 to May 2013 thymoma treated 58 cases of thymoma thymoma resection patients with myasthenia gravis, they were randomly divided into two groups, the control group of 28 patients received routine nursing; on the basis of routine nursing, the observation group 30 cases of given perioperative careful nursing intervention, compared postoperative myasthenic crisis and lung infection incidence in the two groups. Results：The incidence of pulmonary infection and myasthenic crisis occurred were significantly lower than the control group （P〈0.05）. Conclusion： Basing on routine nursing, given perioperative careful nursing intervention for the thymoma patients with myasthenia gravis can significantly decrease the incidence of respiratory complications and myasthenic crisis, greatly shorten the hospital stay, effectively reduce the patient’s own suffering and economic burden.