连续性血液净化在SIRS合并ARF患者中的应用及护理对策  

Application of Continuous Blood Purification in SIRS Combined ARF Patients and Nursing Measures

作　　者：郭翠 王鹏 徐虹 吴珂 陈宁 闫荣 王光明 

机构地区：[1]兵器工业521医院,陕西西安710065

出　　处：《昆明医科大学学报》2015年第4期129-132,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81102247)

摘　　要：目的分析连续性血液净化在SIRS合并ARF患者中的临床效果及护理对策.方法选择SIRS合并ARF患者21例,分别接受CBP及针对性的护理对策,对CBP前、CBP后1d、2d的MEWS及APACHEⅡ、SAPSⅡ评分、肾功能及炎性因子进行评估.结果CBP治疗后1d MEWS及APACHEⅡ、SAPSⅡ较CBP之前显著降低(P<0.05),CBP治疗后2d MEWS及APACHEⅡ、SAPSⅡ较CBP之前及CBP治疗后1d显著降低.CBP治疗后1d BUN、Scr较CBP之前显著降低(P<0.05),CBP治疗后2d BUN、Scr较CBP之前及CBP治疗后1d显著降低.CBP治疗后1d IL-6、IL-10、TNF-α较CBP之前显著降低(P<0.05),CBP治疗后2d IL-6、IL-10、TNF-α较CBP之前及CBP治疗后1d显著降低.结论CBP是治疗SIRS合并ARF的有效方式,采用针对性的护理措施有助于患者SIRS状态的纠正.Objective To analyze the efficacy of continuous blood purification in SIRS combined ARF patients and nursing measures. Methods 21 cases of SIRS combined ARF patients were selected and accepted CBP and the corresponding nursing countermeasures respectively. Before and 1 day and 2 days after CBP, MEWS, APACHE Ⅱ and SAPS Ⅱ scores, renal function and inflammatory factor were evaluated. Results After CBP treatment for 1 day, MEWS, APACHE Ⅱ , SAPS Ⅱ , BUN, Scr, IL-6, IL-10 and TNF-α were significantly decreased （P 〈 0.05） . Compared with before and 1 day after CPB, MEWS, APACHE Ⅱ , SAPS Ⅱ , BUN, Scr, IL-6, IL-10 and TNF-ot were significantly lower at 2 days after treatment （P 〈 0.05） Conclusion CBP is an effective way for treatment of SIRS combined ARF, and adopting the corresponding nursing measures will help to adjust the state of the patients with SIRS.

关 键 词：连续性血液净化 全身炎症反应综合征 急性肾功能衰竭 

分 类 号：R47[医药卫生—护理学]