视神经脊髓炎合并SIADH患者的临床特点及护理措施

Clinical characteristics of neuromyelitis optica patients combined with syndrome of inappropriate antidiuretic hormone secretion and its nursing

目的分析视神经脊髓炎合并SIADH症状的临床特点及护理措施。方法检测视神经脊髓炎患者的特异性自身抗体标志物NMO-Ig G,并记录数据。结果本研究患者8例,其中SIADH的复发率为75%,临床症状多以视力减退或失明为主,占总人数的87.5%。治疗后,症状缓解比较快的是视力及头晕头疼症状,其他症状缓解时间稍慢。实施针对性护理后,进行头部呼吸护理后的患者症状明显缓解,躯体活动护理和心理护理对患者症状缓解有一定作用,但效果相对头部呼吸护理并不显著。结论视神经脊髓炎合并SIADH并发症属于较少见疾病,需要医护人员不断累积知识与经验,提升相应的护理水平。

Objective To explore clinical characteristics of neuromyelitis optica patients combined with syndrome of inappropriate antidiuretic hormone secretion（ SIADH） and its nursing.Methods Autoantibody marker of NMO-Ig G was detected and recorded. Results There were 8 patients included in the study,and SIADH recurrent rate was 75%. The clinical symptoms of patients were vision loss or blindness,accounting for 87. 5%. After treatment,vision and dizziness,and headache were rapidly relieved and other symptoms relieved slowly. After head nursing,the patient’s symptoms were relieved. It was effective for physical symptoms after physical activity and psychological nursing,but it was inefficient in head respiratory care. Conclusion Neuromyelitis optica combined with SIADH requires accumulate knowledge and experience for health care staff to enhance nursing level.