Application of comprehensive nursing service in a case of Guillain Barre respiratory muscle paralysis
综合护理服务在一例格林巴利呼吸肌麻痹患者中的应用

摘要

格林巴利综合征(quillaine barre syndrome.GBS)又称急性炎症性脱髓鞘性多发性神经根炎，是以周围神经急性炎性脱髓鞘为特点的一种临床综合征，主要临庆表现为四肢对称性的麻痹、无力,常累及颅神经所支配的肌肉，严重者可出现呼吸肌无力而死亡[1]。目前该病病因未明，也尚无特异性的治疗方法。在预后患者中，仍有较高比例的格林巴利综合征患者遗留肢体功能障碍，严重影响其生活及工作[2]。因此，住院期间的治疗和护理质量对该病的转归至关重要。我科于2022年1月23日收治了1例格林巴利综合征合并呼吸肌麻痹的患者，通过对其实施个体化的综合护理，包括气道管理、营养支持、体液管理、皮肤管理、心理护理等，该病人治疗效果良好，现将护理总结如下。

Abstract

Guillain Barre syndrome (GBS), also known as acute inflammatory demyelinating polyneuritis, is a clinical syndrome characterized by acute inflammatory demyelination of the peripheral nerve. The main clinical manifestations are symmetrical paralysis and weakness of the limbs, often involving the muscles innervated by the cranial nerve, and death due to respiratory muscle weakness [1]. At present, the etiology of the disease is unknown, and there is no specific treatment. Among the patients with prognosis, there are still a high proportion of patients with Guillain Barre syndrome who have left limb dysfunction, which seriously affects their life and work [2]. Therefore, the quality of treatment and care during hospitalization is crucial to the prognosis of the disease. On January 23, 2022, our department admitted a patient with Guillain Barr é syndrome complicated with respiratory muscle paralysis. Through individualized comprehensive nursing, including airway management, nutritional support, humoral management, skin management, psychological care, etc., the patient's treatment effect was good. The nursing is summarized as follows.