阶段性症状管理对脓毒症休克ICU患者的效果评价  

Eff ects evaluation of stage-specifi c symptom management on patients with septic shock

作　　者：罗芳[1] 吴金海[1] 李君 刘瑞雪[1] 韩卫卫 LUO Fang;WU Jinhai;LI Jun;LIU Ruixue;HAN Weiwei(The First People's Hospital of Nanyang,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院,河南省南阳市473000

出　　处：《护理实践与研究》2025年第2期270-276,共7页Nursing Practice and Research

基　　金：河南省卫生健康委员会医学科技攻关计划联合共建项目(编号:LHGJ20210972)。

摘　　要：目的探讨阶段性症状管理对脓毒症休克重症监护室(ICU)患者康复进程、循环功能、氧合功能、感染状况的影响。方法选取南阳市第一人民医院2021年11月—2023年3月收治的180例进入ICU救治的脓毒症休克患者为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组90例。在ICU急救处理基础上,对照组予以常规护理管理,观察组予以阶段性症状管理。比较两组康复进程、循环功能[心率(HR)、平均动脉压(MAP)]、氧合功能[中心静脉血氧饱和度(ScvO_(2))、动脉血氧分压(PaO_(2))]、感染状况[血小板计数(PLT)、白细胞计数(WBC)、血乳酸(Lac)]水平和并发症发生率。结果护理干预后,观察组患者机械通气、ICU停留及住院时间短于对照组,差异有统计学意义(P<0.05)。护理干预前,两组患者MAP、ScvO_(2)、PaO_(2)、HR水平比较,差异无统计学意义(P>0.05);护理干预后,观察组患者MAP、ScvO_(2)、PaO_(2)水平高于对照组,HR低于对照组,差异有统计学意义(P<0.05)。护理干预前,两组患者PLT、WBC、Lac比较,差异无统计学意义(P>0.05);护理干预后,观察组患者PLT、WBC、Lac低于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论阶段性症状管理可改善脓毒症休克患者机体微循环,减轻感染程度,改善氧合功能,减少并发症的发生率,加快康复进程,促进患者康复。Objective To explore the effects of stage-specific symptom management on the recovery process,circulatory function,oxygenation function,and infection status of septic shock intensive care unit(ICU)patients.Methods To select 180 patients with septic shock admitted to the ICU of the First People's Hospital of Nanyang from November 2021 to March 2023 as the study object,they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 90 cases in each group.The control group was subjected to routine nursing management based on the ICU emergency treatment,and the observation group was subjected to stage-specific symptom management.The two groups were compared in terms of recovery process,circulatory function[heart rate(HR),mean arterial pressure(MAP)],oxygenation function[saturation central venous oxygen(ScvO_(2)),arterial partial pressure of oxygen(PaO_(2))],infection status[platelet count(PLT),white blood cell count(WBC),Blood Lactic Acid(Lac)]levels,and complication rate.Results After nursing intervention,mechanical ventilation,ICU stay and hospitalisation time of the patients in the observation group were shorter than the control group,the difference was statistically significant(P<0.05).Before nursing intervention,the levels of MAP,ScvO_(2),PaO_(2) and HR of patients in the two groups were compared,and the difference had no statistically significant(P>0.05).After nursing intervention,the levels of MAP,ScvO_(2) and PaO_(2) of patients in the observation group were higher than the control group,and HR was lower than the control group,the difference was statistically significant(P<0.05).Before nursing intervention,PLT,WBC,Lac of patients in the two groups were compared,and the difference was not statistically significant(P>0.05).After nursing intervention,PLT,WBC,Lac of patients in the observation group was lower than the control group,the difference was statistically significant(P<0.05).After nursing intervention,the rate

关 键 词：脓毒症休克 阶段性症状管理 循环功能 氧合功能 并发症 

分 类 号：R473.51[医药卫生—护理学]