【摘要】 目的 分析总结妊娠合并结核性脑膜炎患者的相关特征及护理经验。 方法 对2010年1-12月收治的8例妊娠合并结核性脑膜炎患者的相关资料进行回顾性分析，并就疾病特点所采取的有效护理措施进行表述。 结果 6例患者好转出院继续治疗（均于出院后1周内终止妊娠），1例经抢救后转院行引产手术，1例因经济原因自动出院。 结论 应大力普及妊娠期结核性脑膜炎相关知识，重视首发症状及腰椎穿刺检查结果，做到早发现，早诊断，早治疗，并采取相应的护理措施，减少并发症和致死率。【Abstract】 Objective To summarize the characteristics of pregnant women with tuberculous meningitis and the nursing measures for these patients. Methods The clinical data of 8 pregnant patients with tuberculous meningitis diagnosed between January 2010 and December 2010 were retrospectively analyzed. The characteristics of race, admitting diagnosis, basis diseases, premiers symptoms, and course of disease were analyzed, and the nursing measures were summarized. Results Six patients recovered and left the hospital (all had terminationed pregnancy after discharge within one week), one was transferred to another hospital for induction of labor after emergency rescue, one left the hospital for economical reason. Conclusions The propagation of the knowledge of tuberculous meningitis is very important. We should pay more attention to its early symptoms, corning′s puncture examination and give suitable nursing care as soon as possible.
ObjectiveTo study related factors for urinary and fecal incontinence in post-stroke patients, in order to present targeted treatment and effective care. MethodsWith continuous sampling methods, we prospectively evaluated 257 stroke patients admitted to our hospital from August 2010 to October 2012, and had the clinical features form completely filled. All statistical analysis was performed using SPSS 19.0. ResultsUrinary and fecal incontinence rate was 16.7%. Univariate analysis showed that the related factors for the incidence of urinary and fecal incontinence in post-stroke patients included the onset of disturbance of consciousness, disability to sit up or stand two hours after the onset, being complicated with pulmonary infection or ventricular dysfunction, complications, and constipation. A multivariate analysis identified three factors to be independently associated with urinary and fecal incontinence in post-stroke patients, including disturbance of consciousness[OR=4.186, 95%CI (2.010, 8.715), P<0.001], being complicated with pulmonary infection[OR=3.490, 95%CI (1.616, 7.539), P=0.001] and age[OR=1.036, 95%CI (1.004, 1.069), P=0.029]. ConclusionPost-stroke patients are most likely to develop urinary and fecal incontinence, and disturbance of consciousness, being complicated with pulmonary infection and age are three independent factors.