摘要
目的:探讨脓毒血症患者行连续性肾脏替代治疗(CRRT)的观察与护理方法。方法:对37例脓毒血症患者行CRRT,并给予密切观察和精心护理,比较治疗前后患者生命体征、动脉血气分析、肾功能、血小板计数(PLT)及急性生理功能和慢性健康状况评分系统Ⅱ(APACHEⅡ)的评分情况。结果:本组治疗后心率、呼吸、平均动脉压、肾功能、动脉血气分析、PLT及APACHEⅡ评分均优于治疗前(P<0.05)。结论:CRRT能提高脓毒血症患者存活率和抢救成功率,密切观察和精心护理是保证治疗顺利进行的关键。
Objective:To investigate the observation and nursing methods in the treatment of patients with sepsis by using continuous re nal replacement therapy (CRRT). Methods :37 patients with sepsis were treated with CRRT and given close observation and careful nursing care. The. patients vital signs, arterial blood gas analysis, renal function, blood platelet count ( PLT ) and APACHE II scores were compared before and after the treatment. Results:The patients'heart rate,respiration,mean arterial pressure,renal function, arterial blood gas analy sis, PLT and APACHE U scores were better after the treatment than those before treatment ( P 〈 0.05 ). Conclusion: CRRT can improve the survival rate of patients with sepsis and the success rate of rescue, close observation and careful nursing care is the key to the smooth treat ment.