癫痫患者立体定向脑电图手术的并发症分析与护理

Complications analysis and nursing care of patients with epilepsy underwent

目的通过回顾性分析癫痫患者立体定向脑电图（SEEG）手术护理相关并发症的原因，探讨针对此类手术患者的护理特点。方法回顾性分析2015年1月—2017年1月于首都医科大学宣武医院功能神经外科行SEEG手术的癫痫患者100例，对出现的护理相关并发症的原因进行分析，并探讨相应的护理措施。结果共调查分析出护理相关并发症24例，其中安装立体定向头架失败2例，头部皮肤压疮3例，电极与导线脱落8例，术后监测出现癫痫持续状态11例。结论SEEG手术的护理关键在于：实施心理护理和加强术前宣教以消除安装立体定向头架恐惧感，局部保护防止头部局部皮肤压疮的发生，固定牢靠防止电极与导线脱落和用药指导防止癫痫持续状态发生。

ObjectiveTo retrospectively analyze the causes of nursing related complications in patients with epilepsy who underwent stereo-electroencephalography （SEEG） , so as to explore nursing care of these patients.MethodsWe retrospectively analyzed 100 patients with epilepsy who underwent SEEG from January 2015 and January 2017 of Xuanwu Hospital, Capital Medical University. Then we analyzed the causes of common nursing related complications in patients with epilepsy, and explored corresponding nursing measures.ResultsThe investigation included 24 cases of nursing related complications. The number of failed to install the stereotactic instrument was 2 cases. The number of pressure ulcer appearing on the head was 3 cases. The number of electrodes and leads disconnection was 8 cases. The number of status epilepticus during monitoring after surgery was 11 cases.ConclusionsThe key of nursing care of the patients with epilepsy underwent SEEG are as follows： mental nursing and preoperative education to help patients overcome the fear during install the stereotactic instrument; local protection to prevent pressure ulcer appearing on the head; fix firmly to prevent electrodes and leads disconnection; medication guide to prevent status epilepticus.