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綜合護(hù)理監(jiān)測(cè)在高齡重癥患者持續(xù)血液濾過(guò)中的應(yīng)用研究

發(fā)布時(shí)間:2018-06-23 來(lái)源: 感悟愛(ài)情 點(diǎn)擊:


  摘   要:目的  研究在高齡重癥患者持續(xù)血液濾過(guò)中應(yīng)用合護(hù)理監(jiān)測(cè)的效果。方法  選擇22例于我院重癥醫(yī)學(xué)科行床邊CVVH治療的老年患者(≥65歲),所有患者均行持續(xù)性靜脈血液流過(guò)(CVVH)治療,在此基礎(chǔ)上加強(qiáng)綜合護(hù)理監(jiān)測(cè)(觀察組),抽取同期20例CVVH治療常規(guī)護(hù)理老年患者作對(duì)照(對(duì)照組),觀察并對(duì)比兩組并發(fā)癥發(fā)生率。結(jié)果  觀察組并發(fā)癥發(fā)生率為13.21%,低于對(duì)照組的32.52%,組間對(duì)比差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論  在高齡重癥患者持續(xù)血液濾過(guò)中應(yīng)用合護(hù)理監(jiān)測(cè),有助于降低并發(fā)癥發(fā)生率,具有積極的應(yīng)用價(jià)值。
  關(guān)鍵詞:綜合護(hù)理監(jiān)測(cè);高齡重癥患者;持續(xù)血液濾過(guò)
  中圖分類(lèi)號(hào):R473.5                                  文獻(xiàn)標(biāo)識(shí)碼:A                                DOI:10.3969/j.issn.1006-1959.2018.05.066
  文章編號(hào):1006-1959(2018)05-0178-02
  Application of Comprehensive Nursing Monitoring in Elderly Severe Patients with Continuous Hemofiltration
  SUN Ya-jun
 。―epartment of Intensive Medicine,One Subject,4th Central Hospital of Tianjin,Tianjin 300140,China)
  Abstract:Objective  To study the effect of combined nursing monitoring in elderly patients with severe hemofiltration.Methods  22 elderly patients (≥65 years old)treated with bedside CVVH in our department of critical care were selected.Continuous venous blood flow via(CVVH)treatment,on this basis,comprehensive nursing monitoring was strengthened(observation group),20 cases of CVVH treatment in the same period as control group(control group),observation and comparison of the incidence of complications between the two groups.Results  The incidence of complications in the observation group was 13.21%,which was lower than that in the control group 32.52%,the difference between the two groups was statistically significant(P<0.05).Conclusion  The application of combined nursing monitoring in elderly patients with severe hemofiltration is helpful to reduce the incidence of complications.It has positive application value.
  Key words:Comprehensive nursing monitoring;Elderly severe patients;Continuous hemofiltration
  連續(xù)性靜脈血液濾過(guò)(continuous veno-venous hemofiltration,CVVH)具有血流動(dòng)力學(xué)穩(wěn)定、有助于糾正水電解質(zhì)紊亂、清除患者體內(nèi)多余容量等特點(diǎn),在治療高齡重癥患者疾病過(guò)程中起到了重要作用,不僅可以治療慢性腎衰竭患者,還能廣泛應(yīng)用于危重癥患者的治療中,高齡患者的基礎(chǔ)疾病非常多,在血液濾過(guò)治療過(guò)程中,容易引發(fā)很多并發(fā)癥,為了確保高齡危重患者治療的安全性,加強(qiáng)綜合護(hù)理監(jiān)測(cè)非常必要[1]。本次研究主要選擇我院收治的部分高齡重癥患者為研究對(duì)象,對(duì)其展開(kāi)持續(xù)血液濾過(guò)治療,并在此基礎(chǔ)上實(shí)施綜合護(hù)理監(jiān)測(cè),現(xiàn)報(bào)道如下。
  1資料與方法
  1.1一般資料  選擇2015年1月~2017年1月于天津市第四中心醫(yī)院重癥醫(yī)學(xué)科行床邊CVVH治療并采取綜合護(hù)理監(jiān)測(cè)的22例患者作為觀察組,男13例,女9例,年齡65~86歲,平均年齡(72.20±5.81)歲,主要包括多器官功能障礙綜合征8例,嚴(yán)重膿毒癥與濃度性休克9例,心功能不全2例,其他3例。抽取同期20例CVVH治療常規(guī)護(hù)理老年患者作為對(duì)照組,其中男12例,女8例,年齡68~88歲,平均年齡(71.91±5.62)歲,其中多器官功能障礙綜合征8例,嚴(yán)重膿毒癥與濃度性休克8例,心功能不全2例,其他2例。兩組患者基線資料相比,差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05),有可比性。

相關(guān)熱詞搜索:高齡 重癥 監(jiān)測(cè) 護(hù)理 患者

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