综合护理措施对脓毒性休克患者复苏相关指标的改善作用  

Comprehensive Nursing Measures to Improve Resuscitation Related Indexes of Patients with Septic Shock

作　　者：黄娟红[1] 张小丽[1] 龙春梅[1] 凌静[1] HUANG Juan-hong;ZHANG Xiao-li;LONG Chun-mei;LING Jing(Operating Room,Zhanjiang Central People's Hospital,Zhanjiang,Guangdong Province,524000 China)

机构地区：[1]湛江中心人民医院手术室,广东湛江524000

出　　处：《系统医学》2020年第12期183-185,共3页Systems Medicine

基　　金：湛江市科技计划项目:不同平均动脉压复苏目标对脓毒性休克患者预后的影响研究(2016B01080)。

摘　　要：目的将综合护理措施用于脓毒性休克患者中,分析其对患者复苏相关指标改善作用。方法选取2017年5月—2018年4月该院收治的92例脓毒性休克患者进行分组研究,以数字随机表法将其分成观察组(n=46)与对照组(n=46),对照组行常规护理干预,观察组行综合护理措施,对两组干预结果进行比较分析。结果观察组机械通气时间、ICU住院时间与对照组相比,相对更短(P<0.05);两组干预前各项指标水平差异无统计学意义(P>0.05),观察组干预后HR、MAP水平与对照组均差异有统计学意义(P<0.05);观察组干预后病死率为2.17%,与对照组13.04%相比相对更低,差异有统计学意义(χ^2=3.866,P<0.05)。结论对脓毒性休克患者而言,实施综合护理措施效果理想,可缩短机械通气及ICU住院时间,改善复苏相关指标,降低病死率。Objective To apply comprehensive nursing measures to patients with septic shock, and to analyze its improvement effect on patients’ resuscitation related indexes. Methods A total of 92 patients with septic shock admitted from May 2017 to April 2018 were the hospital selected for grouping study. They were divided into an observation group(n=46) and a control group(n=46) by a digital random table method. Routine nursing intervention was adopted in the control group, comprehensive nursing measures were implemented in the observation group, and the results of the two groups were compared and analyzed. Results Compared with the control group, the mechanical ventilation time and ICU hospitalization time of the observation group were relatively shorter(P <0.05);there was no statistically significant difference between the two groups before the intervention(P >0.05). The HR and MAP of the observation group after intervention The difference between the level and the control group was statistically significant(P<0.05);the mortality rate of the observation group after intervention was 2.17%, which was relatively lower than the control group 13.04%, the difference was statistically significant(χ^2=3.866, P <0.05). Conclusion For patients with septic shock, the implementation of comprehensive nursing measures has an ideal effect, which can shorten the mechanical ventilation and ICU hospitalization time, improve the resuscitation-related indicators, and reduce the mortality.

关 键 词：综合护理措施 脓毒性休克 复苏相关指标 机械通气 

分 类 号：R473[医药卫生—护理学]