连续性肾脏替代疗法患者感染的预防性护理分析  

Effect of preventive nursing on infection of patients with continuous renal replacement therapy

作　　者：王静[1] 伊秀娟[2] 杨鑫鑫[3] 夏茂盛[4] 

机构地区：[1]哈尔滨医科大学附属第一医院重症监护室,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第一医院骨三科,黑龙江哈尔滨150001 [3]哈尔滨医科大学附属第一医院中心手术室,黑龙江哈尔滨150001 [4]中国医科大学附属第一医院骨科,辽宁沈阳110001

出　　处：《实用临床医药杂志》2018年第4期42-44,48,共4页Journal of Clinical Medicine in Practice

基　　金：国家青年科学基金项目(81200935)

摘　　要：目的探讨预防连续性肾脏替代疗法(CRRT)患者感染的护理方法并分析效果。方法选取CRRT治疗的患者45例为观察组,采用预防性护理预防感染,选取同期收治的40例CRRT患者作为对照组,给予常规护理。比较2组的临床相关指标及APACHEⅡ评分的变化以及感染率、病死率、住院时间。结果观察组治疗后的血尿素氮(BUN)、肌酐(SCr)、C反应蛋白(CRP)均低于对照组(P<0.05);观察组治疗后的APACHEⅡ评分低于对照组,感染率低于对照组,住院时间短于对照组(P<0.05)。结论预防性护理能够预防CRRT患者感染的发生,促进临床指标的改善,缩短患者的住院时间。Objective To investigate the effect of preventive nursing on infection of patients with continuous renal replacement therapy( CRRT). Methods A total of 45 patients with CRRT treatment in our department were selected as observation group,given prevention nursing for infection,another 40 CRRT patients during the same period were selected as control group,given routine nursing. The changes of clinical correlated index,APACHE score and the rates of infection and mortality,hospitalization time of two groups were compared. Results The levels of BUN,SCr and CRP after the treatment in the observation group were lower than that in the control group,and the differences were statistically significant( P < 0. 05). The APACHE II score,the infection rate after treatment in the observation group were lower,and the hospitalization time was shorter than that in the control group,the differences were statistically significant( P < 0. 05). Conclusion Preventive nursing can prevent the occurrence of infection in patients with CRRT,promote the improvement of clinical indexes and shorten the hospitalization time of patients.

关 键 词：连续性肾脏替代疗法 感染 预防性护理 APACHEⅡ评分 

分 类 号：R473.5[医药卫生—护理学]