临床急救护理在老年重症肺炎合并心力衰竭患者中的应用效果  

The effect of clinical emergency nursing in elderly patients with severe pneumonia complicated with heart failure

作　　者：罗清芳 卓雪芳[1] 林燕勤[1] LUO Qingfang;ZHUO Xuefang;LIN Yanqin(Fujian Provincial Hospital,Fuzhou,Fujian,350001,China)

机构地区：[1]福建省立医院,福建福州350001

出　　处：《当代医学》2022年第14期180-183,共4页Contemporary Medicine

摘　　要：目的探讨临床急救护理应用于老年重症肺炎合并心力衰竭患者中的应用效果。方法选取2020年1—8月本院确诊的72例老年重症肺炎合并心力衰竭患者作为研究对象,以随机数字表法分为对照组和观察组,各36例。对照组给予常规护理,观察组在对照组的基础上给予临床急救护理,比较两组血气指标[动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))]、肺功能指标[第一秒用力呼气容积(FEV_(1))、用力肺活量(FVC)及FEV_(1)/FVC]及临床体征恢复时间。结果护理前,两组PaCO_(2)、SaO_(2)、PaO_(2)比较差异无统计学意义;护理后,两组PaCO_(2)均低于护理前,SaO_(2)、PaO_(2)均高于护理前,且观察组PaCO_(2)低于对照组,SaO_(2)、PaO_(2)均高于对照组,差异有统计学意义(P<0.05)。护理前,两组FVC、FEV_(1)、FEV_(1)/FVC比较差异无统计学意义;护理后,两组FVC、FEV_(1)、FEV_(1)/FVC均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组发热、气促、心力衰竭恢复正常时间均短于对照组,差异有统计学意义(P<0.05)。结论临床急救护理应用于老年重症肺炎合并心力衰竭患者效果显著,可改善血气指标及肺功能指标,促进患者体征尽快恢复正常,值得临床推广应用。Objective To explore the clinical effect of clinical emergency nursing in elderly patients with severe pneumonia complicated with heart failure.Methods A total of 72 elderly patients with severe pneumonia complicated with heart failure diagnosed in our hospital from January to August 2020 were selected as the research subjects,and they were divided into control group and observation group according to random number table method,with 36 cases in each group.The control group was given routine nursing care,and the observation group was given clinical emergency nursing on the basis of the control group,the blood gas indexes(arterial oxygen saturation[SaO_(2)],arterial oxygen partial pressure[PaO_(2)],arterial carbon dioxide partial pressure[PaCO_(2)]),lung function indicators(forced expiratory volume in one second[FEV_(1)],forced vital capacity[FVC]and FEV_(1)/FVC)and the recovery time of clinical signs were compared between the two groups.Results Before nursing,there was no significant difference in PaCO_(2),SaO_(2),and PaO_(2)between the two groups;after nursing,PaCO_(2)in the two groups were lower than that before nursing,SaO_(2)and PaO_(2)were higher than those before nursing,and PaCO_(2)in the observation group was lower than that in the control group,SaO_(2),and PaO_(2)were higher than those in the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in FVC,FEV_(1),and FEV_(1)/FVC between the two groups;after nursing,FVC,FEV_(1),FEV_(1)/FVC in the two groups were higher than those before nursingin,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).The recovery time of fever,short-ness of breath and heart failure in the observation group was shorter than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of clinical emergency nursing in elderly patients with severe pneumonia complicated with heart failure has significant

关 键 词：老年重症肺炎 心力衰竭 临床急救护理 护理效果 

分 类 号：R473.5[医药卫生—护理学]