持续腰大池外引流治疗术后颅内感染的疗效观察与护理

Observation and Nursing of Continuous Lumbar Cistern Drainage in the Treatment of Postoperative Intracranial Infection

目的探讨持续腰大池外引流配合鞘内注射敏感抗生素治疗术后颅内感染的疗效观察与护理。方法选取2013年1月至2019年5月在我院接受持续腰大池外引流配合鞘内注射敏感抗生素治疗颅内感染的26例患者,其中高血压脑出血破入脑室术后18例、颅脑外伤术后7例、前交通动脉瘤术后1例,对患者进行颅内感染护理与疗效观察。结果26例行持续腰大池外引流配合鞘内注射敏感抗生素治疗术后颅内感染者引流后,3~7d感染者的体温呈现下降趋势,其脑脊液白细胞数量也呈减少状态,同时配合科学优质的护理,患者的临床症状明显改善,最后痊愈出院。治疗总有效率96.15%。结论持续腰大池外引流配合鞘内注射敏感抗生素治疗颅内感染的有效防止感染的护理与实施,能够减轻患者的疼痛,提高患者的生存质量,是一种安全有效的方法,具有极高的临床推广应用价值。

Objective To explore the effect of continuous lumbar cistern drainage combined with intrathecal injection of sensitive antibiotics in the treatment of intracranial infection after operation.Methods From January 2013 to May 2019,26 patients with intracranial infection were treated by continuous lumbar cistern drainage combined with intrathecal injection of sensitive antibiotics.Among them,18 cases of hypertensive intracerebral hemorrhage after ventricular rupture,7 cases of craniocerebral trauma and 1 case of anterior communicating artery aneurysm were treated with intracranial infection nursing and curative effect observation.Results After continuous lumbar cistern drainage combined with intrathecal injection of sensitive antibiotics,the body temperature of 6 patients with intracranial infection showed a downward trend and the number of white blood cells in cerebrospinal fluid decreased 3~7 days after drainage.At the same time,with scientific and high-quality nursing,the clinical symptoms of the patients improved significantly,and finally recovered and discharged.The total effective rate was 96.15%.Conclusion The implementation of effective prevention of infection care for continuous intracranial drainage for intracranial infection can reduce the pain of patients.It is a safe and effective method with high clinical application value.