结核性脑膜炎患者的观察及护理

结核性脑膜炎是指患者出现以脑压升高，脑膜刺激征为主的一系列症状。初期有轻度头痛、嗜睡、羞明、表情淡漠等。中期为脑膜刺激期，患者脑压升高，出现剧烈头痛、角弓反张、喷射性呕吐。晚期为昏迷瘫痪期，患者可出现昏睡、失明、抽搐、大小便失禁等症状，危重时发生脑疝，如不及时处理，会危及患者生命。因此恰当的治疗护理对患者顺利恢复非常重要。笔者对我科收治的49例结核性脑膜炎患者的护理经验进行总结，现报道如下。

Influence of hydrotherapy on jaundice of newborn

Objective To discuss the influence of hydrotherapy on jaundice of newborn. Methods We divided 400 newborn into the hydrotherapy group and the control group with 200 cases in each group randomly. The newborn in the hydrotherapy group received hydrotherapy from 24 hours to 30 days after born,one time per day and 15 minutes per time.The control group was given pure shower, the time of first defecation ,the time of meconinm turning yellow, jaundice index and incidence of hyperbilirubinemia were compared at the 1st,5th,10th and 30th days after born. Results The time of first defecation and the time of meconium turning yellow were advancer in the observation group than those in the control group(P<0.01 ).The jaundice index at the 5th,10th andf 30th days after born and the incidence of hyperbilirubinemia also decreased in the observation group compared with those of the control group (P<0.01 ). Conclusion Hydrotherapy could decrease the jaundice of newborn and prevent the incidence of kernicterus.