综合性护理在ICU感染性休克患者中的应用效果分析

Effect of comprehensive care on ICU patients with septic shock

目的探讨综合性护理在ICU感染性休克患者中的临床护理效果,以提高ICU感染性休克患者抢救成功率。方法选取2015年2-9月绍兴市人民医院ICU诊治的60例感染性休克患者资料进行分析,将患者随机分为对照组和试验组,每组30例,对照组采用常规方法护理,试验组实施综合性护理,比较两组护理效果;采用SPSS18.0软件对数据进行统计分析。结果试验组患者护理总有效率为80.00%,显著高于对照组的70.00%,两组差异有统计学意义(P<0.05);两组患者护理前CRP指标差异不显著;试验组护理后CRP指标,显著低于对照组(P<0.05);两组患者护理前心率(HR)、平均血压(MAP)、心脏指数(CI)以及静脉血氧饱和度(SvO2)水平差异不显著;试验组护理后MAP水平显著低于对照组;试验组护理后CI、SvO2水平显著高于对照组(P<0.05)。结论 ICU感染性休克患者治疗过程中实施综合性护理,能够提高临床护理效果和满意率,缓解患者感染,值得推广应用。

OBJECTIVE To explore the clinical effect of comprehensive care on ICU patients with septic shock so as to raise the success rate of rescue of the ICU patients with septic shock.METHODS The clinical data of 60 patients with septic shock who were treated in the ICU of Shaoxing People′s Hospital from Feb 2015 to Sep 2015 were analyzed,the patients were randomly divided into the control group and the experimental group,with 30 cases in each.The control group was treated with conventional care,while the experimental group was given the comprehensive care.The effect of care was observed and compared between the two groups of patients,and the statistical analysis of data was performed with the use of SPSS18.0software.RESULTS The total effective rate of care of the experimental group was 80.00%,significantly higher than 70.00% of the control group,and there was significant difference between the two groups（P〈0.05）.There was no significant difference in the level of CRP between the two groups of patients before the care;the level of CRP of the experimental group was significantly lower than that of the control group after the care（P〈0.05）.There was no significant difference in the heart rate（HR）,mean artery pressure（MAP）,cardiac index（CI）,or venous oxygen saturation（SvO2）between the two groups of patients before the care;the level of MAP of the experimental group was significantly lower than that of the control group after the care;the levels of CI and SvO2 of the experimental group were significantly higher than those of the control group after the care（P〈0.05）.CONCLUSION The implementation of the comprehensive care can improve the clinical effect of care,raise the satisfaction,and alleviate infections in the ICU patients with septic shock;it is worthy to be promoted.