医护联合模式对肺部重症感染患者中呼吸功能及炎症因子的控制效果  

Control Effect of Combined Medical and Nursing Model on Respiratory Function and Inflammatory Factors in Patients with Severe Pulmonary Infection

作　　者：张焕平 Zhang Huanping(Changge City People's HospitalDisinfection supply centerXuchang,Henan 461500)

机构地区：[1]长葛市人民医院,河南许昌461500

出　　处：《辽宁医学杂志》2020年第2期67-70,共4页Medical Journal of Liaoning

摘　　要：目的探讨医护联合模式对肺部重症感染患者中呼吸功能及炎症因子的控制效果。方法选取2018年2月-2019年2月我院收治的肺部重症感染患者124例,按入院顺序分为对照组和观察组,各62例。对照组常规治疗及护理,观察组采用医护联合模式治疗护理。观察比较两组患者呼吸功能指标,炎症因子水平,肺功能指标及并发症发生情况。结果观察组动态顺应性(Cdyn)、呼吸做功(WOB)和氧合指数(PaO2/FiO2)等呼吸功能指标均优于对照组(P<0.05)。观察组降钙素原(PCT)、白介素-6(IL-6)和C-反应蛋白(CRP)等炎症因子水平低于对照组(P<0.05)。观察组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)等肺功能指标高于对照组(P<0.05)。观察组胸腔积液、肺水肿及复发性肺炎等并发症发生率低于对照组(P<0.05)。结论医护联合模式可有效改善肺部重症感染患者呼吸及肺功能,提高其功能指标,炎症因子水平得到明显控制,且能降低并发症发生率,对临床具有重要意义。Objective To investigate the control effect of combined medical and nursing model on respiratory function and inflammatory factors in patients with severe pulmonary infection.Methods 124 patients with severe pulmonary infections admitted to our hospital from February 2018 to February 2019 were enrolled,anddivided into control group and observation group according to the order of admission,each with 62 cases.The control group received routine treatment and nursing,while the observation group received combined medical and nursing model.Respiratory function,inflammatory factors,pulmonary function and complications were observed and compared between the two groups.Results Respiratory function indexes such as dynamic compliance(Cdyn),work of breathing(WOB)and oxygenation index(PaO2/FiO2)in the observation group were better than those in the control group(P<0.05).The levels of procalcitonin(PCT),interleukin-6(IL-6)and C-reactive protein(CRP)in the observation group were lower than those in the control group(P<0.05).The first second forced expiratory volume(FEV1)and forced vital capacity(FVC)in the observation group were significantly higher than those in the control group(P<0.05).The incidence of complications such as pleural effusion,pulmonary edema and recurrent pneumonia in the observation group was lower than that in the control group(P<0.05).Conclusion Combined medical and nursing model can effectively ameliorate the respiratory and pulmonary function,control the level of inflammatory factors,and reduce the incidence of complications for patients with severe pulmonary infection,which is of great clinical significance.

关 键 词：医护联合模式 肺部重症感染 呼吸功能 炎症因子 

分 类 号：R473.5[医药卫生—护理学]