营养平衡护理方法成功救治特重度烧伤婴儿60例

Application of nutrition balance support nursing measures in 60 cases of severely burned infants

目的探讨营养平衡护理方法在救治特重度烧伤婴儿中的应用。方法选择2001年11月～2011年12月治疗的重度烧伤患儿120例,分为治疗组和对照组,每组各60例。治疗组给予营养平衡护理,对照组给予常规护理;观察并比较两组血糖异常变化发生情况、动脉血气分析及感染发生情况。结果 120例患儿均抢救成功,治疗组高葡萄糖血症发生率[8.3%(5/60)]、低葡萄糖血症发生率[6.7%(4/60)]均低于对照组[21.7%(13/60)、18.3%(11/60)],差异均有高度统计学意义(P<0.01)。治疗组静脉导管感染[12.5%(10/80)]、呼吸系统感染[17.5%(11/63)]、低钠血症[21.9%(233/1065)]、低钾血症[33.9%(317/963)]、低钙血症[7.9%(84/1065)]、代谢性酸中毒[16.2%(173/1065)]、低氧血症[18.9%(201/1065)]、高乳酸血症[17.0%(181/1065)]发生率均低于对照组[31.1%(19/61)、40.0%(24/60)、24.7%(263/1065)、36.3%(340/936)、31.5%(295/936)、27.7%(259/936)、42.6%(399/936)、29.7%(268/882)],差异均有统计学意义(P<0.01或P<0.05)。结论营养平衡疗法在救治特重度烧伤患儿中,抢救成功率高、安全性高、并发症少,适用于重度烧伤患儿的救治。

Objective To explore the application of nutrition balance support nursing measures in severely burned infants. Methods 120 cases of severely burned infants from November 2001 to December 2011 were selected and divided into treatment group and control group with 60 cases in each group. Nutrition balance support nursing was used in treatment group, routine nursing was used in control group; blood sugar changes, arterial blood gas analysis and Infections were observed and compared between the two groups. Results All the 120 cases were rescued successfully. incidence of high serum glucos, incidence of low serum glucose in treatment group [8.3%（5/60）, 6.7%（4/60）] were lower than those in control group [21.7% （13/60）, 18.3% （11/60）], the differences were statistically significant （P 〈 0.01）. Incidence of catheter-related infection, respiractory tract infections, hyponatremia, hypokalemia, hypocalcemia, metabolic acidosis, hyoxemia and hyperlactacidemia in treatment group[12.5% （10/80）, 17.5% （11/63）, 21.9% （233/1065）, 33.9% （317/963）, 7.9% （84/1065）, 16.2% （173/1065）, 18.9% （201/1065）, 17.0% （181/1065）] were all lower than those in control group [31.1% （19/61）, 40.0% （24/60）, 24.7% （263/1065）, 36.3% （340/936）, 31.5% （295/936）, 27.7% （259/936）, 42.6% （399/936）, 29.7% （268/882）], the differences were statistically significant （P 〈 0.01 or P 〈 0.05）. Conclusion Nutrition balance support nursing has high rescue success rate, safety and less complications in the treatment of severely burned infants, it is worthy of application in severely burned infants.