侧脑室置管外引流持续脑室灌注给药加腰大池引流治疗颅内感染的效果及护理

目的对侧脑置管外引流持续脑室灌注给药加腰大池引流治疗颅内感染的临床护理进行分析，评价其效果。方法选择沈阳军区总医院2012年11月～2013年10月收治的颅内感染患者60例为研究对象．对所有研究对象的临床资料如体温、外周血象、脑脊液生化指标进行整理分析；采用加拿大神经功能评分量表（CNS）对患者神经功能预后进行评价；采用自制护理满意度调查表，对患者满意度进行调查分析。结果①60例患者中患者死亡1例，植物生存3例，1例患者出现脑积水。患者体温由治疗前的（38．0±0．5）℃降至（36．4±1．0）℃，差异有统计学意义（P〈0．05）。治疗后患者外周血WBC及脑脊液WBC各比例分布情况均明显优于治疗前分布情况，差异均有统计学意义（P〈0．05）。②患者治疗后CNS评分为（33．46±4．20）分，明显高于治疗前（17．40±3．79）分，差异有统计学意义（P〈0．05）。⑧治疗后患者满意率结果：非常满意45份，基本满意10份，未见不满意者。结论侧脑置管外引流持续脑室灌注给药加腰大池引流可有效地治疗患者颅内感染，促进患者恢复，应在临床加以推广应用。

Nursing analysis and effectiveness of lateral ventricle catheter drainage sustained ventricular perfusion combined with lumbar drainage in treat- ing intracranial infection

Objective To analyze the effect and nursing of lateral ventricle catheter drainage sustained ventricular per- fusion combined with lumbar drainage in the treatment of intracranial infection, to evaluate the effect. Methods 60 pa- tients with intracranial infection in the General Hospital of Shenyang Military Region from November 2012 to October 2013 were selected. The clinical data of temperature, peripheral hemogram, cerebrospinal fluid biochemical indicators were analyzed. Canada neural function assessment scale （CNS） was used to evaluate the neurologic prognosis. Homemade nursing satisfaction questionnaire was used to investigate the patients＂ satisfaction. Results ①1 patient died, 3 patients were vegetative state, 1 patient was hydrocephalus. The temperature before the treatment （38.0±0.5） ℃] was higher than that after the treatment （36.4±1.0） ℃], the difference was statistically significant （P 〈 0.05）. The proportion situation of peripheral blood WBC and cerebrospinal fluid WBC after the treatment were better than those before the treatment, the differences were statistically significant （P 〈 0.05）. ②The CNS scores after the treatment （33.46±4.20） scores] were higher than those before the treatment （17.40±3.79） scores], the difference was statistically significant （P 〈 0.05）. ③45 patients with great satisfaction, 10 patients with basic satisfaction were found and no dissatisfaction was found ac- cording to the satisfaction analysis after treatment. Conclusion The lateral ventricle catheter drainage sustained ven- tricular perfusion combined with lumbar drainage can effectively treat the patients with intraeranial infection, and pro- mote the recovery of the patient, it is right to promote in clinical application.