摘要
目的:探讨1M3S护理对纤维支气管镜肺泡灌洗重症肺炎患者的疗效及不良并发症的影响。方法:选取2018年7月—2023年4月南京医科大学附属苏州医院(苏州市立医院)接收的102例纤维支气管肺泡灌洗诊疗的重症肺炎患者为研究对象,按照护理方法不同分为对照组和观察组,每组各51例。对照组接受常规护理干预,观察组接受1M3S护理干预。比较两组临床疗效、干预前后炎症因子水平以及护理期间不良并发症发生情况。结果:干预后,观察组总有效率为96.08%,高于对照组,差异有统计学意义(P<0.05);干预后观察组退热、止咳、撤机、血象恢复正常、出院时间,与对照组比较均缩短,差异有统计学意义(P<0.05);干预后,观察组血清白细胞介素-6(IL-6)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)水平时间均低于对照组,且两组均低于干预前,差异有统计学意义(P<0.05);观察组护理期间不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:在纤维支气管镜肺泡灌洗治疗重症肺炎期间实施1M3S护理可促进患者早期康复,降低炎性因子水平,减少相关不良事件发生。
Objective:To investigate the effect and adverse complications of 1M3S nursing on bronchoscopic alveolar lavage in patients with severe pneumonia.Method:A total of 102 patients with severe pneumonia who received fiberoptic bronchoscope alveolar lavage in the hospital from July 2018 to April 2023 were selected as the study objects.They were divided into a control group consisted of 51 cases and an observation group consisted of 51 cases based on different nursing methods.The control group received conventional nursing care,while the observation group received 1M3S nursing.The clinical efficacy,levels of inflammatory factors before and after intervention and the incidence of adverse complications during the nursing period were compared between the two groups.Result:After intervention,the total effective rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The time of fever reduction,cough relief,withdrawal,blood image recovery and discharge in the observation group were shortened compared with the control group,and the differences were statistically significant(P<0.05).After the intervention,Serum interleukin-6(IL-6),interleukin-10(IL-10),tumor necrosis factor-α(TNF-α)and the levels of reactive protein(CRP)in the observation group were lower than those before intervention,and the difference was statistically significant(P<0.05).The incidence of adverse events during nursing in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:1M3S nursing during bronchoscopic alveolar lavage treatment of severe pneumonia can promote early recovery of patients,reduce the level of inflammatory factors and the occurrence of related adverse events.
作者
龚陈伟
张新
殷亚君
GONG Chenwei;ZHANG Xin;YIN Yajun(Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou 215000,China;不详)
出处
《中外医学研究》
2024年第24期119-123,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
1M3S护理
纤维支气管镜肺泡灌洗
重症肺炎
并发症
炎症因子
1M3S nursing
Fiberoptic bronchoscope alveolar lavage
Severe pneumonia
Complications
Inflammatory factors
