脑深部电极刺激术治疗帕金森病患者围手术期护理

Perioperative nursing of patients with Parkinson's disease treated by deep brain stimulation

目的:观察脑深部刺激治疗帕金森患者并发症与护理。方法:对17例帕金森患者,行双侧脑深部刺激器(deep brain stimulator,)植入术。手术采用磁共振扫描结合微电极记录技术进行靶点定位,刺激靶点为丘脑底核,对患者围手术期进行并发症的观察与护理。结果:17例患者术后切口愈合良好,肢体震颤僵直缓解,行动迟缓明显改善,无严重并发症。术后随访无异常不适,生活质量明显提高。结论:围手术期严密观察病情,对患者进行针对性的心理护理,加强患者肢体的功能锻炼,并给予正确的出院指导,对患者康复有重要意义。

Objective：To observe the complications and nursing care of deep brain stimulation （ DBS） in the treatment of Parkinson＇s disease （ PD） . Methods：17 patients with PD were given bilateral deep brain stimulation. Magnetic resonance image （ MRI） combined with microelectrodes were used to localize the subthalamic nucleus as the target during the surgery. The complications within the perioperative period were observed and cared. Results： After the surgery of DBS, all the patients healed excellently without any complications. The clinical symptoms of tremors and stiffness were alleviated and the flexibility of movement was improved significantly. The quality of life was improved and without any complaints during the postoperative follow-up. Conclusions：Close observation of the condition changes, specific psychological nursing, strengthening exercise of limb function, and correct discharging guide significantly contribute to the PD patients convalesce.