急性肺栓塞患者静脉溶栓治疗的重症监护护理

Intensive Care Nursing for Patients with Acute Pulmonary Embolism Undergoing Travenous Thrombolysis

目的探讨急性肺栓塞患者静脉溶栓治疗的重症监护护理方法。方法选取我院ICU 2013年4月至2016年3月间收治的23例急性肺栓塞患者,随机分为两组。对照组采用常规护理,试验组采用系统整体护理。比较两组的治疗效果及并发症情况。结果对照组中,8例溶栓成功,1例病情无显著改善,2例死亡;试验组中,9例溶栓成功,2例病情无显著改善,1例死亡;所有溶栓成功患者病情好转,转入普通病房。两组患者的临床治疗效果比较差异无统计学意义(P>0.05)。试验组治疗过程中及治疗后的并发症发生率为8.3%,显著低于对照组的54.5%,差异有统计学意义(P<0.05)。结论急性肺栓塞患者应及时进行溶栓治疗并配合系统化的护理,可降低病死率和并发症发生率,提高临床治疗效果。

Objective To explore the intensive care nursing methods of intravenous thrombolytic treatment for patients with acute pulmonary embolism. Methods 23 cases of patients with acute pulmonary embolism admitted to ICU of our hospital from April 2013 to March 2016 were selected and randomly divided into two groups. The control group received conventional nursing, while the experimental group received systematic holistic nursing. The treatment effect and complications were compared between two groups. Results In control group, 8 cases were successful, 1 case had no obvious change and 2 cases died; in experimental group, 9 cases were successful, 2 cases had no obvious change and 1 case died. All the successful cases got better and turned to ordinary ward. No statistical difference was found in the clinical treatment effect between two groups （P〉0.05）. The incidence of complications of experimental group was 8.3%, significantly lower than 54.5% of control group, with statistical difference （P 〈0.05）. Conclusions Timely thrombolytic treatment and systematic nursing on patients with acute pulmonary embolism can reduce mortality and incidence of complications, and improve clinical treatment effect.