摘要
目的：通过对脓毒症患者护理效果的指标分析,探讨早期目标导向治疗脓毒症的急诊护理方法.方法：采用历史对照和自身对照,以2004年12月～2007年12月共37例严重脓毒症患者作为对照组,2008年1月～2010年12月共35例严重脓毒症患者作为实验组.对照组接受常规护理操作,实验组实施早期目标导向治疗护理方法.记录两组患者的生命体征、循环系统功能、氧合功能、肾功能变化情况以及28 d的生存率并进行统计学分析.结果：实验组患者的CVP、MAP、ScvO2、PaO2、PaO2/FiO2和每小时尿量均高于对照组,HR和Cr含量均低于对照组,两组各指标差异均有统计学意义（P〈0.01） 实验组干预后6 h和干预后12 h与干预前比较,差异也具有统计学意义（P〈0.05） 对照组28 d生存率为40.54%,实验组为68.57%,差异有统计学意义（P〈0.05）.结论：早期目标导向治疗的急诊护理可有效减轻脓毒症患者各功能的损害,提高其生存率.对于严重脓毒症患者,早期积极采取系统规范的护理干预具有重要意义.
Objective ： By analyzing the nursing effect of the septic patients, to explore the etnergency nursing methods of the septic patients with early goal - directed therapy. Methods：With historical comparison and self comparison, 35 inpatients of study gToup admined from Jan. 2008 to Dec. 2010 were com- pared with 37 patients of history control group admined from Dec. 2004 to Dec. 2007. Patients in the study group were performed the nursing care of the ear- ly goal -directed therapy,and the control group accepted the conventional nursing procedures. Record the vital .sign,cireulatory fuaction,oxgenation, renal function of patients in two groups, and analyzed by statistics. Results ：The indexs of CVP, MAP, ScvO2 , PaO2 , PaO2/FiO2 and urine output per hour in the study group were all higher than those in the control gToup. The others are lower. There were significant differences between two groups in the all indicators （P 〈0.01 ）. Besides,the survival rate within 28 days in the study group was 68.6% ,and 40.5% in the control group, which showed statistical meaning （ P 〈 0.05）. Conclusion ： The emergency nursing care of the septic patieuts with early goal - directed therapy can effectively reduce the damage of organic function and improve survival rate. Thus,it was significant for the septic patients to be taken systemic and standard nursing care.
出处
《护理实践与研究》
2011年第13期1-3,共3页
Nursing Practice and Research
