重症肺炎患者感染性休克的危险因素分析及护理对策研究

Analysis on Nursing Countermeasures and Risk Factors of Septic Shock in Patients with Severe Pneumonia

目的探讨重症肺炎患者感染性休克的危险因素和护理对策。方法选取我院2014年2月至2015年2月的重症肺炎发生感染性休克的患者124例,分析危险因素,探讨抢救治疗成功的护理对策。结果 80例患者被成功抢救,重症肺炎患者并发感染性休克的危险因素包括有患COPD、消化道出血、营养不良、高龄和受累器官在3个以上,有以上危险因素患者的病死率显著较高(P<0.05)。经过全面综合的护理后,病死率降低(P<0.05)。结论重症肺炎患者感染性休克的危险因素较多,造成患者的病死率升高。及时的诊断和治疗以及综合的护理策略对提高抢救的成功率和降低病死率有积极的作用。

Objective To explore the risk factors and nursing countermeasures of septic shock in patients with severe pneumonia.Methods 124 cases of patients with severe pneumonia and septic shock in our hospital from February 2014 to February 2015 were selected.The risk factors were analyzed and the nursing countermeasures for the successful rescue and treatment were explored. Results 80 cases ofpatients were successfully rescued. The risk factors of septic shock in patients with severe pneumonia included chronic obstructivepulmonary disease （COPD）, gastrointestinal bleeding, malnutrition, venerable age and more than three organ involvement. The mortality ofpatients with above risk factors was higher than that of other patients （P〈0.05）. After comprehensive nursing, the mortality decreased （P〈0.05）.Conclusions Many risk factors for septic shock in patients with severe pneumonia result in increasing mortality. Timely diagnosis, treatmentand comprehensive nursing countermeasures have a positive effect in improving successful rescue rate and reducing mortality.