综合性ICU诊治及监护模式在重症肺炎患儿中的应用效果  

Application effect of comprehensive ICU diagnosis and treatment and care mode in children with severe pneumonia

作　　者：陈能辉 CHEN Nenghui(PICU,Maternal and Child Health Hospital of Ganzhou City in Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市妇幼保健院PICU,江西赣州341000

出　　处：《中国现代医生》2020年第19期62-64,共3页China Modern Doctor

摘　　要：目的分析综合性ICU诊治及监护模式在重症肺炎患儿中的应用效果。方法选取2017年2月~2019年6月我院收治的重症肺炎患儿70例,按照患儿就诊先后顺序编号,前35例设定为对照组,给予常规ICU诊治与监护措施,后35例设定为试验组,在对照组基础上实施综合性ICU诊治及监护模式,比较两组患儿并发症发生率、死亡率、家属满意度和炎症因子水平。结果试验组患儿并发症发生率为2.86%,低于对照组的17.14%(P<0.05);试验组患儿死亡率为0.00%,低于对照组的11.43%(P<0.05);试验组家属满意度为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05);两组患儿治疗前CRP水平比较差异无统计学意义(P>0.05),两组治疗后均较治疗前降低(P<0.05),组间比较试验组更低(P<0.05)。结论针对重症肺炎患儿,ICU诊治及临床监护意义重大,是保证患儿安全,促进其病情恢复的主要手段,但不同应用模式对患儿影响存在差异,其中综合性诊治与监护模式应用价值更高,值得推荐。Objective To analyze the effect of comprehensive ICU diagnosis and treatment andcare mode in children with severe pneumonia.Methods 70 children with severe pneumonia admitted to our hospital from February 2017 to June 2019 were selected and numbered according to the sequence of the child's visit.The first 35 cases were set as the control group,and given routine ICU diagnosis and treatment and care measures,the latter 35 cases were set as the experimental group,and given comprehensive ICU diagnosis and treatment and care mode on the basis of that in the control group.The complication rate,mortality,family satisfaction and inflammatory factor levels were compared between the two groups.Results The complication rate of the experimental group was 2.86%,which was lower than that(17.14%)of the control group(P<0.05).The mortality rate of the experimental group was 0.00%,which was lower than 11.43%of the control group(P<0.05).The satisfaction of family members was 94.29%,which was higher than that of the control group(77.14%,P<0.05).There was no statistically significant difference in CRP level between the two groups before treatment(P>0.05).After treatment the CRP in two groups was lower than that before treatment(P<0.05),and the level in the experimental group was lower(P<0.05),which was statistically significant.Conclusion For children with severe pneumonia,ICU diagnosis and treatment and clinical care is of great significance,which is the main means to ensure the safety of children and promote their recovery.However,different application models have different effects on children,and the comprehensive diagnosis and treatment and care mode has higher application value,and is worth recommending.

关 键 词：小儿重症肺炎 ICU诊治 临床监护 综合模式 炎症因子水平 

分 类 号：R725.6[医药卫生—儿科]