老年患者抗生素相关性腹泻的护理对策

Nursing countermeasures of antibiotic-associated diarrhea in elderly patients

目的 探讨老年患者抗生素相关性腹泻（AAD）的护理对策。方法 选取浙江省宁波市第一医院2012年6~12月27例老年肺炎患者为研究对象,根据患者病情及相关血流动力学监测选用相关抗生素进行抗感染治疗。患者同时接受镇静、退热、平喘、止咳以及液体疗法抗炎等一系列肺炎常规治疗。患者出现AAD时停用抗生素并给予相关肠黏膜保护剂及益生菌制剂用以平衡肠道菌群。对发生脱水的患者及时给予补液纠正脱水,维持患者体内酸碱度及电解质的平衡。结果 27例老年患者住院20~30 d,肺炎治愈时,AAD痊愈。结论 老年肺炎患者接受抗生素治疗过程中出现AAD时,通过加强皮肤评分、基础护理、皮肤护理及对症护理等可以改善AAD。

Objective To investigate the nursing countermeasures of antibiotic-associated diarrhea in elderly pneumonia patients. Methods 27 elderly pneumonia patients in the First Hospital of Ningbo City from June 2012 to December2012 were involved in this study. All patients received anti-infective therapy by intravenous injection of related antibiotics according to the patients′conditions and hemodynamic monitoring. The patients also received conventional treatment of pneumonia such as defervescence, sedation, cough, asthma-relieving and fluid therapy. All patients stopped taking antibiotics and were treated with intestinal mucosal protective agent, probiotic products to maintain the balance of intestinal flora after AAD occurrence. The patients dehydrated also received fluid replacement to maintain acid-base balance and electrolyte balance. Results 27 cases of elderly patients were cured of pneumonia and AAD after 20 to 30 days stay in hospital. Conclusion Enhancing skin score, basic care, skin care and symptomatic nursing can effectively improve AAD in elderly pneumonia patients.