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目的分析大剂量甲基强的松龙冲击疗法用于重症系统性红斑狼疮患者治疗中的效果以及护理体会。方法 100例重症系统性红斑狼疮患者,均实施大剂量甲基强的松龙冲击疗法治疗,同时实施相应的护理干预。观察治疗效果,总结护理体会。结果 100例患者在接受大剂量甲基强的松龙冲击治疗之后,血清补体升高或恢复正常、尿蛋白降低、白细胞升高、血小板升高、面部红斑变淡以及关节及肌肉疼痛缓解的患者有90例;有2例患者因为肺部感染在接受相应治疗之后出院;有8例患者精神行为得到明显的控制。结论对于重症系统性红斑狼疮使用大剂量甲基强的松龙冲击治疗可以取得非常显著的效果,但是也会出现一定程度的不良反应以及并发症等,这就导致患者的治疗情况受到影响,所以对患者开展一系列有效的观察及护理措施就可以很好的预防不良反应及并发症的发生。
Objective To analyze the effect of high-dose methylprednisolone impact therapy on patients with severe systemic lupus erythematosus (SLE) and its nursing experience. Methods 100 cases of severe systemic lupus erythematosus patients were treated with high-dose methylprednisolone therapy, while implementing the appropriate nursing intervention. Observed the effect of treatment, summing up nursing experience. Results In 100 patients who received high doses of methylprednisolone, patients with elevated or normal serum complement, decreased urinary protein, elevated white blood cells, elevated platelets, pale erythema, and pain relief in joints and muscles There are 90 cases; 2 patients were discharged after receiving the appropriate treatment because of pulmonary infection; 8 patients mental behavior was significantly controlled. Conclusion Severe systemic lupus erythematosus using high-dose methylprednisolone impact treatment can achieve very significant results, but there will be some degree of adverse reactions and complications, which led to the treatment of patients affected, so A series of effective observation and nursing care for patients can prevent adverse reactions and complications.