1.北京中医药大学东方医院 急诊科, 北京, 100078
2.北京中医药大学东方医院 重症医学科, 北京, 100078
韩建萍, E-mail: hanyim80@163.com
收稿:2025-12-14,
修回:2026-01-07,
录用:2026-01-21,
网络首发:2026-05-26,
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李影, 候朋晓, 任亚星, 等. 1例系统性红斑狼疮伴意识障碍患者的护理病例报告[DB/OL].中西医结合临床案例库, 2026.
LI Ying, HOU Pengxiao, REN Yaxing, et al. Nursing Case Report of a Systemic Lupus Erythematosus Patient with Impaired Consciousness[DB/OL].Clinical Archives of Integrative Medicine, 2026.
李影, 候朋晓, 任亚星, 等. 1例系统性红斑狼疮伴意识障碍患者的护理病例报告[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202512140001.
LI Ying, HOU Pengxiao, REN Yaxing, et al. Nursing Case Report of a Systemic Lupus Erythematosus Patient with Impaired Consciousness[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202512140001.
本文总结1例系统性红斑狼疮(SLE)继发神经精神狼疮(NPSLE)并发急性意识障碍患者的护理经验。由医护团队协作,为患者制定个性化护理方案,护理要点包括意识障碍护理、感染预防护理、皮肤护理、营养支持护理及心理护理。通过系统性整体护理,患者意识状态恢复,病情稳定。本报告旨在探讨系统性红斑狼疮伴意识障碍患者的护理要点,为临床护理工作提供参考。
This report summarizes the nursing experience of a systemic lupus erythematosus (SLE) patient who developed neuropsychiatric lupus (NPSLE) with acute impaired consciousness. Through interdisciplinary collaboration, a personalized nursing plan was implemented, focusing on consciousness monitoring, infection prevention, skin care, nutritional support, and psychological intervention. Systematic holistic nursing interventions contributed to the patient's restored consciousness and stabilized condition. This case highlights key nursing considerations for SLE patients with consciousness disorders, providing clinical reference for similar cases.
周央中 , 赵久良 , 田新平 , 等 . 《中国系统性红斑狼疮诊疗指南(2025版)》解读 [J]. 协和医学杂志 , 2025 , 16 ( 5 ): 1193 - 1198 .
ZHOU Y Z , ZHAO J L , TIAN X P , et al . Interpretation on the Chinese guidelines for the diagnosis and treatment of systemic lupus erythematosus(2025 edition) [J]. Med J Peking Union Med Coll Hosp , 2025 , 16 ( 5 ): 1193 - 1198 . (in Chinese)
TIAN J R , ZHANG D Y , YAO X , et al . Global epidemiology of systemic lupus erythematosus: a comprehensive systematic analysis and modelling study [J]. Ann Rheum Dis , 2023 , 82 ( 3 ): 351 - 356 .
中华医学会风湿病学分会 , 国家皮肤与免疫疾病临床医学研究中心 , 中国系统性红斑狼疮研究协作组 . 2020中国系统性红斑狼疮诊疗指南 [J]. 中华内科杂志 , 2020 , 59 ( 3 ): 172 - 185 .
Chinese Society of Rheumatology , National Clinical Research Center for Skin and Immune Diseases , Chinese Collaborative Group on Systemic Lupus Erythematosus . 2020 Chinese guidelines for the diagnosis and treatment of systemic lupus erythematosus [J]. Chin J Intern Med , 2020 , 59 ( 3 ): 172 - 185 . (in Chinese)
张奉春 . 风湿免疫病学 [M]. 北京 : 人民卫生出版社 , 2009 .
赵凯 , 鲁芙爱 , 王永福 . 中枢神经系统感染模拟神经精神狼疮1例 [J]. 北京大学学报(医学版) , 2025 , 57 ( 6 ): 1188 - 1192 .
ZHAO K , LU F A , WANG Y F . Central nervous system infection mimicking neuropsychiatric systemic lupus erythe-matosus: a case report [J]. J Peking Univ Health Sci , 2025 , 57 ( 6 ): 1188 - 1192 . (in Chinese)
国家皮肤与免疫疾病临床医学研究中心 , 中华医学会风湿病学分会 , 风湿免疫病学教育部重点实验室 , 等 . 中国成人中枢神经精神狼疮临床实践专家共识(2024版) [J]. 中华风湿病学杂志 , 2024 , 28 ( 9 ): 613 - 625 .
National Clinical Research Center for Skin and Immune Diseases , Chinese Society of Rheumatology , Key Laboratory of Rheumatology and Immunology , Ministry of Education , et al . Chinese expert consensus on clinical practice of adult central neuropsychological lupus erythematosus (2024) [J]. Chin J Rheumatol , 2024 , 28 ( 9 ): 613 - 625 . (in Chinese)
金辉 , 赵丹 , 陈明欣 . 伴有急性意识障碍的神经精神系统性红斑狼疮1例 [J]. 中国实验诊断学 , 2024 , 28 ( 12 ): 1488 - 1490 .
JIN H , ZHAO D , CHEN M X . A case of neuropsychiatric systemic lupus erythematosus with acute disturbance of consciousness [J]. Chin J Lab Diagn , 2024 , 28 ( 12 ): 1488 - 1490 . (in Chinese)
李小舟 , 索明果 , 赵广阔 , 等 . 格拉斯哥昏迷量表评分对肝性脑病患者预后评估价值的多中心研究 [J]. 上海医学 , 2024 , 47 ( 12 ): 744 - 749 .
LI X Z , SUO M G , ZHAO G K , et al . A multicenter study on the prognostic value of Glasgow coma scale score in patients with hepatic encephalopathy [J]. Shanghai Med J , 2024 , 47 ( 12 ): 744 - 749 . (in Chinese)
邱迪 , 王星明 , 刘清仁 , 等 . 急性术后疼痛危险因素和疼痛程度预测方法的研究进展 [J]. 临床麻醉学杂志 , 2022 , 38 ( 2 ): 194 - 198 .
QIU D , WANG X M , LIU Q R , et al . Research progress on risk factors and pain degree prediction methods of acute postoperative pain [J]. J Clin Anesthesiol , 2022 , 38 ( 2 ): 194 - 198 . (in Chinese)
陈琳 , 马梦思 , 宋海燕 , 等 . 新型冠状病毒肺炎住院患者病耻感和焦虑的相关性研究 [J]. 中华护理杂志 , 2020 , 55 ( S1 ): 601 - 602 .
CHEN L , MA M S , SONG H Y , et al . Study on the correlation between stigma and anxiety in hospitalized patients with coronavirus disease 2019 [J]. Chin J Nurs , 2020 , 55 ( S1 ): 601 - 602 . (in Chinese)
史君伟 , 蔡德慧 , 王鑫浩 , 等 . 系统性红斑狼疮患者运动干预的最佳证据总结 [J]. 中华现代护理杂志 , 2025 , 31 ( 8 ): 1052 - 1058 .
SHI J W , CAI D H , WANG X H , et al . Summary of best evidence for exercise interventions in patients with systemic lupus erythematosus [J]. Chin J Mod Nurs , 2025 , 31 ( 8 ): 1052 - 1058 . (in Chinese)
王汉萍 , 周佳鑫 , 郭潇潇 , 等 . 免疫检查点抑制剂相关毒副作用管理之激素的使用 [J]. 中国肺癌杂志 , 2019 , 22 ( 10 ): 615 - 620 .
WANG H P , ZHOU J X , GUO X X , et al . The use of glucocorticoid in the management of adverse effects related to immunocheckpoint inhibitors [J]. Chin J Lung Cancer , 2019 , 22 ( 10 ): 615 - 620 . (in Chinese)
沈晓炜 , 潘蕾 , 陈颖丹 , 等 . 系统性红斑狼疮患者心理弹性相关因素与护理应对策略 [J]. 国际护理学杂志 , 2022 , 41 ( 5 ): 800 - 803 .
SHEN X W , PAN L , CHEN Y D , et al . Related factors of resilience of patients with systemic lupus erythematosus and nursing coping strategies [J]. Int J Nurs , 2022 , 41 ( 5 ): 800 - 803 . (in Chinese)
刘玉培 , 陈红 , 冯小姣 . 中医护理在系统性红斑狼疮患者中的价值 [J]. 实用中医内科杂志 , 2023 , 37 ( 4 ): 103 - 105 .
LIU Y P , CHEN H , FENG X J . The value of traditional Chinese medicine nursing in patients with systemic lupus erythematosus [J]. J Pract Tradit Chin Intern Med , 2023 , 37 ( 4 ): 103 - 105 . (in Chinese)
袁利玲 , 杨薇 . 中西医结合临床健康教育路径应用于系统性红斑狼疮病人的效果评价 [J]. 护理研究 , 2013 , 27 ( 11 ): 1005 - 1007 .
YUAN L L , YANG W . Evaluation on effect of integrative medicine clinical health education path applied in systemic lupus erythematosus patients [J]. Chin Nurs Res , 2013 , 27 ( 11 ): 1005 - 1007 . (in Chinese)
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