液体导向治疗护理在肠梗阻伴心血管疾病患者中的应用价值  

Value of Fluid-guided Therapy in Intestinal Obstruction Patients with Cardiovascular Diseases

作　　者：李颖[1] LI Ying(Department of Emergency,First People's Hospital of Shenyang City,Shenyang 110041,China)

机构地区：[1]沈阳市第一人民医院急诊科,辽宁沈阳110041

出　　处：《中国医药指南》2021年第21期84-85,88,共3页Guide of China Medicine

摘　　要：目的探讨液体导向治疗护理在肠梗阻伴心血管疾病患者中的临床应用价值。方法选择2017年3月至2019年2月本院收治的老年急性肠梗阻感染性休克患者80例为研究对象,按照随机数字表法分为两组,各40例。对照组实施常规护理补液治疗,观察组实施目标导向液体治疗护理,比较两组干预后平均动脉压、中心静脉压与尿量水平变化情况,统计两组患者应用血管活性药物频率及应用时间,分析干预后两组心血管相关指标变化情况。结果干预后观察组平均动脉压、中心静脉压、尿量水平均高于对照组(P<0.05);观察组应用血管活性药物频率明显低于对照组,应用血管活性药物持续时间显著短于对照组(P<0.05);干预后观察组BNP水平显著低于对照组,LVEF水平显著高于对照组(P<0.05)。结论针对老年肠梗阻感染性休克患者,实施液体导向治疗护理,能有效的维持机体器官灌注,改善循环功能,减少血管活性药物使用频率及使用时间,改善患者心功能,提高临床治疗效果,提高治疗安全性。Objective To explore the clinical application value of liquid-guided therapy nurse in intestinal obstruction patients with cardiovascular diseases.Methods Eighty elderly cases with acute intestinal obstruction septic shock admitted to our hospital from March 2017 to February 2019 were randomly divided into two group,40 cases in each group.The control group was treated with conventional fluid infusion,while the observation group was treated with target-oriented fluid therapy nurse.Then the changes of mean arterial pressure,central venous pressure and urine volume level after the intervention in the two groups were compared.The frequency and application time of vasoactive drugs in the two groups were counted,and the changes of cardiovascular related indexes in the two groups after the intervention were analyzed.Results After the intervention,the average arterial pressure,the central venous pressure,and the urine volume in the observation group were higher than control group(P<0.05);the frequency of application of vasoactive drugs in the observation group was significantly lower than control group,the duration of application of vasoactive drugs was significantly shorter than control group(P<0.05);the BNP level in the observation group was significantly lower than control group,and the LVEF level was significantly higher than control group(P<0.05).Conclusion For the elderly patients with intestinal obstruction septic shock,fluid-guided therapy nurse can effectively maintain organ perfusion,it can improve circulation function,reduce the frequency and time of vasoactive drugs and improve the patient's heart function,improve the clinical treatment effect,and improve the treatment safety.

关 键 词：液体导向治疗 护理 肠梗阻 心血管疾病 心功能 

分 类 号：R473.6[医药卫生—护理学]