脓毒血症患者早期液体复苏治疗的监测与护理  

Monitoring and nursing on septic patients undergoing initial fluid resuscitation treatment

作　　者：陈芳[1] 许瑛[1] 沈炯[1] 蔡国龙[1] 

机构地区：[1]浙江医院ICU,浙江杭州310013

出　　处：《护士进修杂志》2007年第18期1648-1650,共3页Journal of Nurses Training

基　　金：浙江省医药卫生重点科技项目(项目编号:2004ZD002)

摘　　要：目的总结对进行早期液体复苏治疗脓毒症患者的护理经验。方法48例脓毒症患者入选,均于6h内完成液体复苏;监测患者复苏前后的生命体征、中心静脉压(CVP)、中心静脉血氧饱和度(SCVO2)或混合静脉血氧饱和度(SVO2)和尿量的变化,评价护理工作在脓毒症患者液体复苏过程中的作用。结果高效的输液护理、血管活性药物应用时的护理、管道护理和心理护理有助于促进液体复苏达标。结论优质的护理配合规范化的早期液体复苏治疗,可以提高危重病脓毒血症患者的生存率。Objective To summarize nursing experience on septic patients undergoing initial fluid resuscitation. Method 48 septic patients were enrolled and underwent initial fluid resuscitation in 6 hours after admission. Monitoring on vital signs, central venous pressure （CVP）, central venous oxygen saturation （SCVO2） or venous oxygen saturalion （SVO2） and urinary output per hour was performed on admission and after fluid resuscitation, and the role of nursing care on fluid resuscitation was evaluated. Result Effective nursing care during fluid transfusion and vasoaclive drugs administralion,catheters care as well as mental health care contributed to the goals achievement of fluid restlscltation. Conclusion Normalized initial fluid resuscitation combined with excellent nursing care could increase survival rate in septic patients.

关 键 词：脓毒血症 早期液体复苏 监测 护理 

分 类 号：R473.5[医药卫生—护理学] R459.9[医药卫生—临床医学]