CAJ | 학술논문

目的：探讨老年患者抗生素相关性腹泻(AAD)的护理对策。方法选取浙江省宁波市第一医院2012年6~12月27例老年肺炎患者为研究对象，根据患者病情及相关血流动力学监测选用相关抗生素进行抗感染治疗。患者同时接受镇静、退热、平喘、止咳以及液体疗法抗炎等一系列肺炎常规治疗。患者出现AAD时停用抗生素并给予相关肠黏膜保护剂及益生菌制剂用以平衡肠道菌群。对发生脱水的患者及时给予补液纠正脱水，维持患者体内酸碱度及电解质的平衡。结果27例老年患者住院20~30 d，肺炎治愈时，AAD痊愈。结论老年肺炎患者接受抗生素治疗过程中出现AAD时，通过加强皮肤评分、基础护理、皮肤护理及对症护理等可以改善AAD。
목적：탐토노년환자항생소상관성복사(AAD)적호리대책。방법선취절강성저파시제일의원2012년6~12월27례노년폐염환자위연구대상，근거환자병정급상관혈류동역학감측선용상관항생소진행항감염치료。환자동시접수진정、퇴열、평천、지해이급액체요법항염등일계렬폐염상규치료。환자출현AAD시정용항생소병급여상관장점막보호제급익생균제제용이평형장도균군。대발생탈수적환자급시급여보액규정탈수，유지환자체내산감도급전해질적평형。결과27례노년환자주원20~30 d，폐염치유시，AAD전유。결론노년폐염환자접수항생소치료과정중출현AAD시，통과가강피부평분、기출호리、피부호리급대증호리등가이개선AAD。
Objective To investigate the nursing countermeasures of antibiotic-associated diarrhea in elderly pneumo-nia patients. Methods 27 elderly pneumonia patients in the First Hospital of Ningbo City from June 2012 to December 2012 were involved in this study. All patients received anti-infective therapy by intravenous injection of related antibi-otics according to the patients’conditions and hemodynamic monitoring. The patients also received conventional treat-ment of pneumonia such as defervescence, sedation, cough, asthma-relieving and fluid therapy. All patients stopped taking antibiotics and were treated with intestinal mucosal protective agent, probiotic products to maintain the balance of intestinal flora after AAD occurrence. The patients dehydrated also received fluid replacement to maintain acid-base balance and electrolyte balance. Results 27 cases of elderly patients were cured of pneumonia and AAD after 20 to 30 days stay in hospital. Conclusion Enhancing skin score, basic care, skin care and symptomatic nursing can effectively improve AAD in elderly pneumonia patients.