379例重型病毒性肝炎的临床观察与护理  

Clinical observation on 379 cases with severe viral hepatitis and nursing care

作　　者：陶新学[1] 黄华[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院感染科,武汉430030

出　　处：《现代护理》2006年第18期1670-1671,共2页Modern Nursing

摘　　要：目的分析重型病毒性肝炎(SVH)预后的影响因素,提出护理对策。方法分析379例SVH的预后与病原分型、谷丙转氨酶(ALT)、谷丙转氨酶与谷草转氨酶比值(ALT/AST),总胆红素(Tbil),胆固醇(Tchol),凝血酶原活动度(PTA),以及各种并发症的关系。结果SVH的预后与重叠感染其他肝炎病毒、PTA及并发症有极显著的相关性(P<0.01),与ALT/AST、Tbil、Tchol显著相关(P<0.05)。结论了解SVH预后的相关因素,进行预防性的护理,对降低患者的死亡率具有非常重要的意义。Objective To analyze the influence factors of prognosis of severe viral hepatitis （SVH） ,and to propose the nursing countermeasures. Methods The relationships between prognosis of SVH and pathogeny type,alanine transaminase（ALT）, ratio of alanine transaminase to aspartate transaminase（ALT/AST）, total bilirubin （Tbil）, cholesterol （ Tchol）, prothrombin activity （PTA）, as well as various complications in 379 cases with severe viral hepatitis（SVH） were analyzed. Results There was a very significant correlation between the prognosis of SVH and other severe infectious hepatitis viruses, PTA as well as complications （P 〈 0.01）. In addition, there was a significant correlation between the prognosis of SVH and ALT/AST,Tbil,as well as Tchol （P 〈 0.05）. Conclusions There is a very important meaning to decrease the mortality of patients by knowing the correlative factors of the prognosis of SVH, and conducting the preventive nursing care.

关 键 词：重型病毒性肝炎 临床观察 护理 

分 类 号：R473.5[医药卫生—护理学]