摘要
目的观察综合性护理干预对重症监护病房感染性休克患者治疗效果的影响。方法 60例感染性休克患者随机分为干预组(综合性护理干预)和对照组(常规对症护理),每组各30例,比较两组患者的治疗效果及CRP治疗前后的变化以及两组患者干预0 h、3 h、6 h的MAP、CI、SvO2、HR的变化情况。结果干预组患者的总有效率达80.00%,对照组的总有效率达70.00%,两组差异无统计学意义(P>0.05)。干预组患者的显效率达50.00%,明显高于对照组的28.67%(P<0.05)。干预组患者治疗后其CRP水平较对照组降低更显著(P<0.05)。干预6 h后,分别与干预0 h比较,干预组患者的MAP、HR未见明显变化,但干预组干预后3 h、6 h的CI、SvO2分别与干预0 h比较明显升高,而对照组干预6 h其MAP明显升高,HR明显降低(P<0.05);但两组干预后3 h或6 h同一时间点的MAP、HR分别进行组间比较,差异不显著(P>0.05);干预后3 h或6 h同一时间点,干预组SvO2、CI均分别较对照组明显升高(P<0.05)。结论对重症监护病房感染性休克患者实施综合性护理干预措施,可以提高临床治疗效果,降低患者的血清CRP水平,且对患者的血流动力学影响较小。
Objective To observe the effect of comprehensive nursing intervention on ICU patients with septic shock. Methods Sixty patients in our ICU with septic shock were randomly divided into intervention group （comprehensive nursing intervention）and control group （conventional symptomatic treatment）, 30 cases in each group ,the outcomes and CRP and intervention 0 h, 3 h, 6 h of MAP, CI, SvO2, HR changes were compared. Results The total effective rate of intervention group was 80.O0%,the total rate of the control group was 70.00 % （P〉0.05）.The markedly effective rate of intervention group was 50.00% ,was higher than the control group （28.67%）（P〈0.05）.The CRP levels of intervention group decreased more significantly than the control group （P〈0.05）. Compared with the intervention 0 h, MAP,HR of intervention group did not change, but the intervention group 3 h, 6 h of CI, SvO2 respectively significantly increased compared with intervention 0 h, the MAP was significanltly higher, HR was significantly lower after intervention 6 h （P〈0.05）; but the two groups after the intervention of the same point in time 3 h or 6 h MAP,HR were compared was not significant （P〉0.05）; 3 h or 6 h after the intervention the same time point,the intervention group＇SvO2, CI were respectively significantly higher than the control group,the difference was significant （P〈0.05）. Conclusion The integrated care interventions for ICU patients with septic shock can improve clinical outcomes, reduce serum CRP levels and have less affection for the patient＇s hemodynamic.
出处
《中国现代医生》
2014年第3期90-93,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2010KYA026)
