摘要
目的探讨Caprini风险评估量表指导的专职化护理对进重症监护室(ICU)行机械通气的重症支气管哮喘(简称“哮喘”)患儿股静脉血流速度及下肢深静脉血栓(LEDVT)的影响。方法回顾性分析2019年9月至2021年9月南华大学附属第二医院ICU收治的86例行机械通气的重症哮喘患儿的临床资料,根据护理方法的不同分为观察组(43例)和对照组(43例)。对照组患儿接受常规护理,观察组患儿在常规护理的基础上采用Caprini风险评估量表指导下的专职化护理。比较2组患儿的LEDVT发生情况、疾病缓解情况及股静脉血流动力学指标。结果观察组患儿LEDVT、肢体肿胀及下肢皮肤变色的发生率均低于对照组(P均<0.05),症状缓解时间早于对照组,住院时间短于对照组(P均<0.05)。护理7 d后,2组患儿的股静脉平均血流速度、血流峰流速均快于同组入院时,血流量均大于同组入院时(P均<0.05);观察组的股静脉平均血流速度、血流峰流速均快于对照组,血流量大于对照组(P均<0.05)。结论Caprini风险评估量表指导下的专职化护理有助于改善在ICU行机械通气的重症哮喘患儿的股静脉血流动力学指标,减少LEDVT等并发症的发生,促进症状缓解,缩短住院时间。
Objective To investigate the effect of professional nursing guided by Caprini Risk Assessment Scale on the blood flow velocity of femoral vein and lower extremity deep vein thrombosis(LEDVT)in severe bronchial asthma children undergoing mechanical ventilation in the intensive care unit(ICU).Methods The clinical data of 86 severe asthma children who received mechanical ventilation in the ICU of the Second Hospital,University of South China from September 2019 to September 2021 were retrospectively analyzed.They were assigned into an observation group(43 cases)and a control group(43 cases)according to different nursing methods.The children in the control group received routine nursing,and the children in the observation group received professional nursing guided by Caprini Risk Assessment Scale in addition to the routine nursing.The incidence of LEDVT,disease remission,and hemodynamic parameters of femoral vein were compared between the two groups.Results The incidences of LEDVT,extremity swelling,and lower extremity skin discoloration in the observation group were lower than those in the control group(all P<0.05).The symptom relief time and hospitalization time of the observation group were shorter than those of the control group(both P<0.05).After 7 days of nursing,the mean blood flow velocity and peak blood flow velocity of femoral vein in both groups were faster than those at admission,and the blood flow was greater than that at admission(all P<0.05).The mean blood flow velocity and peak blood flow velocity of femoral vein in the observation group were faster than those in the control group,and the blood flow was greater than that in the control group(all P<0.05).Conclusion Professional nursing guided by Caprini Risk Assessment Scale is helpful to improve the hemodynamic parameters of femoral vein in severe asthma children undergoing mechanical ventilation in the ICU,reduce the incidences of LEDVT and other complications,promote the symptom relief,and shorten the hospitalization time.
作者
周瑶
陈芬
罗姣
ZHOU Yao;CHEN Fen;LUO Jiao(Department of Pediatric Critical Care,The Second Hospital,University of South China,Hengyang,Hunan,421001,China)
出处
《中西医结合护理（中英文）》
2022年第12期13-16,共4页
Journal of Clinical Nursing in Practice
