人工肝血浆置换术在重症肝炎中的治疗效果及护理  

Therapeutic effect and nursing observation of artificial liver plasma replacement in severe hepatitis

作　　者：杜粉静[1] 邵灿[1] 郑鸽之 DU Fenjing;SHAO Can;ZHENG Gezhi(Department of Infectious Disease,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 701161,China)

机构地区：[1]西安交通大学第一附属医院感染科,西安710061

出　　处：《长春中医药大学学报》2020年第2期381-384,共4页Journal of Changchun University of Chinese Medicine

基　　金：陕西省自然科学基础研究计划(2014JQ4162)。

摘　　要：目的探讨人工肝血浆置换术在重症肝炎中的治疗效果及护理措施。方法以256例重症肝炎患者为研究对象,根据入院单双号将受试者分为对照组和研究组,各128例。对照组仅行人工肝血浆置换术治疗,研究组在对照组的基础上实施针对性护理措施,比较2组的治疗效果、治疗前后各肝功能指标变化、并发症发生率及护理满意度。结果研究组治愈率与好转率较对照组更高,自动出院率与死亡率较对照组更低,2组比较差异显著(P<0.05);治疗后2组的PT 、AST、ALT及TBiL水平较治疗前均明显降低,且研究组显著低于对照组(P<0.05);研究组并发症发生率较对照组更低,2组比较差异有统计学意义(P<0.05);研究组护理总满意度较对照组更高(P<0.05)。结论在人工肝血浆置换术治疗期间实施针对性护理措施有助于促进肝功能恢复,减少并发症,提高治疗及护理效果,对改善重症肝炎患者预后具有积极意义。Objective To investigate the therapeutic effect and nursing measures of artificial liver plasma replacement in severe hepatitis.Methods A total of 256 patients with severe hepatitis were selected,and divided into control group and study group according to the odd-even number of admission,with 128 cases in each group.The control group were only treated with artificial liver plasma replacement,and the study group were given targeted nursing measures on the basis of the control group.The treatment effect,changes of liver function index,complication rate and nursing satisfaction were compared between the two groups.Results The cure rate and improvement rate in the study group were higher than those in the control group,and the automatic discharge rate and mortality rate were lower than those in the control group with statistically significant difference (P<0.05).After treatment,the levels of PT,AST,ALT and TBiL in the two groups were significantly decreased,and the study group was significantly lower than the control group (P<0.05).The incidence of complications in the study group was lower than that in the control group with statistically significant difference (P<0.05).The total nursing satisfaction of patients in the study group was higher than that in the control group with statistically significant difference (P<0.05).Conclusion The implementation of targeted nursing measures during the treatment of artificial liver plasma replacement is helpful to promote the recovery of liver function,reduce complications,improve the treatment and nursing effect,and has positive significance to improve the prognosis of patients with severe hepatitis.

关 键 词：人工肝血浆置换术 重症肝炎 肝功能 并发症 护理满意度 

分 类 号：R473.5[医药卫生—护理学]