应用连续性静脉血液滤过治疗全身炎症反应综合征30例临床护理

Clinical nursing care of 30 patients with SIRS treated with CVVH

目的:探讨应用连续性静脉血液滤过(CVVH)治疗全身炎症反应综合征(SIRS)患者的护理方法。方法:将30例SIRS患者随机分为治疗组和对照组各15例,对照组进行常规治疗,治疗组在此基础上给予CVVH治疗。监测两组心率(HR)、呼吸频率(RR)、体温(T)、白细胞计数(WBC)、SIRS症状改善时间、多器官功能障碍综合征(MODS)发生率。结果:治疗组治疗3d后,T、RR、HR改善情况及治疗7d后的WBC改变情况均优于对照组(P<0.01),SIRS症状改善例数明显多于对照组(P<0.05),治疗7d后MODS发生率较对照组显著降低(P<0.05)。结论:CVVH能降低心、脑、肺、肝、肾的损伤程度,维持内环境稳定,改善组织供氧和器官功能,能有效改善SIRS患者的临床症状。

Objective： To study the nursing method in the treatment of systemic inflammatory response syndrome （SIRSI with CVVH. Methods： Thirty patients with SIRS were divided into treatment group and control group at random （ 15 for each group ）. Routine therapy was taken in control group and CVVH was additionally applied based on routine therapy in treatment group. The monitoring was carried out on the patients ＇ HR, RR, temperature, WBC, the time of improvement of SIRS and the incidence of MODS. Results ： The improvement of patients＇ temperature and RR after treatment for 3 days and the improvement of WBC after treatment for 7 days were better in treatment group than that in control group （ P 〈0.01 ） ; the numbers of patients who had improvement of symptoms were more in treatment group than that in control group （ P 〈 0. 05 ） ; the incidence of MODS after treatment for 7 days was evidently less in the treatment group （ P 〈 0. 05 ）. Conclusion ： CVVH can reduce the degree of the injuries in the heart, brain, lung, liver and kidney of the patients and effectively improve the symptoms of SIRS through keeping internal environment stable and improvement of supplying of oxygen for tissues and function of organs.