摘要
目的探讨重症患者行连续肾脏替代疗法(CRRT)治疗期间采用集束化护理对其体外循环通路通畅率的影响.方法84例行CRRT治疗重症患者,依据护理方案不同分为对照组和观察组,每组42例.对照组实施常规护理方案,观察组在常规护理方案基础上开展集束化护理模式.观察比较两组患者治疗后动脉压差值、静脉压差值、跨膜压差值,滤器凝血有效率、体外循环通畅率,滤器使用个数及单个滤器使用时间.结果观察组患者治疗后的动脉压差值、静脉压差值、跨膜压差值均显著低于对照组,差异具有统计学意义(P<0.05).观察组滤器凝血有效率83.33%及体外循环通畅率76.19%均显著高于对照组的42.86%、47.62%,差异均具有统计学意义(P<0.05).观察组滤器使用个数(1.58±0.51)个少于对照组的(2.41±0.77)个,而单个滤器使用时间(21.82±1.36)h长于对照组的(20.08±1.26)h,差异均具有统计学意义(P<0.05).结论针对重症患者行CRRT治疗期间开展集束化护理可进一步提高滤器凝血有效率、体外循环通畅率,且可降低对患者压力监测指标的影响,降低使用滤器数量,延长单个滤器使用时间,护理价值较高,值得推广.
Objective To discuss the influence of bundles of care on the patency rate of cardiopulmonary bypass in severe patients during continuous renal replacement therapy(CRRT). Methods A total of 84 severe patients treated with CRRT were divided by different nursing regimens into control group and observation group,with 42 cases in each group. The control group received conventional nursing regimen, and the observation group received bundles of care on the basis of conventional nursing regimen. Observation and comparison were made on arterial pressure difference, venous pressure difference, transmembrane pressure difference, coagulation efficiency of filter, patency rate of cardiopulmonary bypass, consumptions of filters, and service life of a single filter before and after treatment in two groups. Results After treatment, the observation group had significantly lower arterial pressure difference, venous pressure difference and transmembrane pressure difference than the control group,and the difference was statistically significant(P<0.05). The observation group had significantly higher coagulation efficiency of filter as 83.33% and patency rate of cardiopulmonary bypass as 76.19% than 42.86% and 47.62%in the control group, and the difference was statistically significant(P<0.05). The observation group had less consumption of filters as(1.58±0.51) pieces than(2.41±0.77) pieces and longer service life of a single filter as(21.82±1.36) h. than(20.08±1.26) h. in the control group. Their difference was statistically significant(P<0.05).Conclusion Bundles of care during CRRT shows high nursing value for severe patients can further improve the coagulation degree of filters and the patency rate of cardiopulmonary bypass. It can also reduce the impact on patients’ pressure monitoring indicators, reduce the consumption of filters, and extend the service life of a single filter. It is worth promoting.
作者
顼雪莲
XU Xue-lian(Intensive Care Unit, People's Hospital of Inner Mongolia Autonomous Region, Hohhot 010017, China)
出处
《中国实用医药》
2019年第23期137-139,共3页
China Practical Medicine
关键词
连续肾脏替代疗法
集束化护理
体外循环通路通畅率
Continuous renal replacement therapy
Bundles of care
Patency rate of cardiopulmonary bypass
