护理干预在连续性肾脏替代治疗的急危重症患者中的效果观察  

Observation on the Effect of Nursing Intervention in Acute and Critically Ill Patients with Continuous Renal Replacement Therapy

作　　者：孙秀芳[1] 陈伟花 SUN Xiufang;CHEN Weihua(Huizhou Third People's Hospital,Huizhou 516000,China)

机构地区：[1]惠州市第三人民医院

出　　处：《临床医学工程》2019年第10期1407-1408,共2页Clinical Medicine & Engineering

摘　　要：目的观察护理干预在连续性肾脏替代治疗(CRRT)的急危重症患者中的效果。方法80例行床旁CRRT的急危重症患者随机分为两组各40例,观察组采用护理干预,对照组采用常规护理,比较两组的并发症发生率以及血尿素氮(BUN)、血肌酐(Scr)、C反应蛋白(CRP)、降钙素原(PCT)水平。结果观察组的并发症发生率为5.00%,显著低于对照组的25.00%(P<0.05)。护理前,两组患者的Scr、BUN、CRP及PCT比较无显著差异(P>0.05);护理后,观察组的Scr、BUN、CRP及PCT均显著低于对照组(P<0.05)。结论护理干预应用于行CRRT的急危重症患者,能显著降低并发症发生率,提升治疗效果,值得应用与推广。Objective To observe the effect of nursing intervention in acute and critically ill patients with continuous renal replacement therapy(CRRT).Methods 80 cases of acute and critically ill patients treated with bedside CRRT were randomly divided into two groups,with 40 cases in each group.The observation group received nursing intervention,while the control group received routine nursing.The incidence of complications,and the levels of blood urea nitrogen(BUN),serum creatinine(Scr),C-reactive protein(CRP)and procalcitonin(PCT)were compared between two groups.Results The incidence of complications of observation group was 5.00%,significantly lower than 25.00%of control group(P<0.05).Before nursing,no statistical difference was found between two groups in the Scr,BUN,CRP and PCT(P>0.05);After nursing,the Scr,BUN,CRP and PCT of observation group were significantly lower than those of control group(P<0.05).Conclusions Nursing intervention applied in acute and critically ill patients with CRRT can obviously reduce the incidence of complications,and improve the curative effect,which is worthy of application and promotion.

关 键 词：急危重症患者 连续性肾脏替代治疗 护理干预 效果 

分 类 号：R473.5[医药卫生—护理学]