手术治疗烟雾综合征合并甲状腺功能亢进患者29例的护理体会

Nursing Experience of 29 Patients with Moyamoya Syndrome Complicated Graves' Diseases Underwent Surgery

目的目的探讨烟雾综合征合并甲状腺功能亢进患者的护理措施。方法总结2003年1月至2014年1月解放军307医院收治并进行手术治疗的29例烟雾综合征合并甲状腺功能亢进患者的临床资料,对其护理方案、围术期并发症和手术疗效等进行回顾性分析。结果 29例患者中男女性别比为4∶25,症状首发年龄为(33.24±12.73)岁,术后的随访平均时间为(41.62±26.02)个月,随访期内26例手术患者症状改善明显。结论烟雾综合征合并甲状腺功能亢进患者好发于女性患者,首发症状以脑缺血症状为主,血管重建手术能够显著改善临床症状,加强心理护理、制定个体化的护理方案有助于改善患者的预后。

Objective To discuss the nursing practice of moyamoya syndrome complicated Graves＇ diseases（MMS-GD）.Methods Clinical data of 29 cases of patients with MMS-GD were analyzed retrospectively with the nursing plan,perioperative complication and surgery efficacy.Results There were 29 patients enrolled in the study,including 4men and 25 women.The onset usually occurs in the ages of（33.24±12.73）.The average duration of postoperative follow-up was（41.62±26.02）months,26 patients showed clinical improvement during the follow-up.Conclusion MMS-GD most occurs in females,and ischemia is the most common onset symptoms.Revascularization surgery may be the most efficient way to prevent the progression of clinical symptoms.Strengthening the psychological nursing,and making personalized nursing plan can help to improve the prognosis.