目的:对血浆置换治疗视神经脊髓炎谱系疾病的临床护理效果进行分析,探讨常见并发症的相关原因、预防及护理对策,保证临床血浆置换治疗的顺利进行。

方法:回顾性收集 2020 年1月至 2022年 12月上海交通大学医学院附属仁济医院神经内科收治的 38 例接受性血浆置换治疗的视神经脊髓炎谱系疾病患者的临床资料,分析治疗性血浆置换的效果。

结果:38 例患者在接受 3~5 次血浆置换后,其症状都有不同程度的缓解和改善。血浆置换治疗期间,5 例发生感染,4例发生深静脉血栓,3 例有出血倾向,1 例发生低血压。

结论:掌握熟练血浆置操作技术和全程密切的观察护理是保证血浆置换顺利完成的关键。

Objective: To analyze the clinical nursing effect of plasma exchange (PE) on patients with neuromyelitis optica spectrum disorders (NMOSD) and explore the related causes prevention and nursing counter measures of common complications,in order to ensure the successful completion of clinical PE treatment.

Methods: The clinical data of 38 NMOSD patients receiving PE in Department ofNeurology, Renji Hospital, Shanghai jiao Tong University School of Medicine, from January 2020 to December 2022 were collected, and the effect of therapeutic PE was analyzed.

Results: All of 38 patients showed varying degrees of relief and improvement in symptoms after 3~5 rounds of PE therapy, Of the 38 patients, 5 had infection, 4 had deep vein thrombosis, 3 had bleeding tendency, and 1 had hypotension.

Conclusion: Mastering proficient PE operation techniques and close observation and nursing throughout the process are the key to ensure the smooth completion of PE.