CRRT在ICU危重患者治疗中的护理效果观察

Observation on the Nursing Effect of CRRT in ICU Critically Ill Patients

目的研究分析对ICU危重患者实施综合护理干预的临床效果。方法选取我院ICU危重患者(2018年5月至2019年4月,共50例)展开研究,均给予连续性肾代替治疗(CRRT);而后按模式差异将其分为对照组(常规护理)和观察组(综合护理干预);对比分析护理前后两组患者动脉血气指标、血清β2-MG水平、甲状旁腺激素PTH水平、心率、APACHEⅡ评分、肾功能改善情况。结果经护理后观察组动脉血气指标改善情况显著较对照组好,P<0.05。护理后观察组PTH值显著较高,血清β2-MG水平显著较低,P<0.05。观察组心率、APACHEⅡ评分、肾功能明显较好,P<0.05。结论治疗ICU危重患者连续性肾代替治疗疗效显著,在此基础上联合综合护理干预,可促进患者尽快康复。

Objective To study and analyze the clinical effect of comprehensive nursing intervention for ICU critically ill patients. Methods A total of 50 critically ill ICU patients in our hospital(from May 2018 to April 2019, a total of 50 patients) were selected for the study. All patients were given continuous renal replacement therapy(CRRT). Then according to the differences in the model they were divided into control group(routine nursing) and observation group(comprehensive nursing intervention);Analysis of two groups of patients before and after nursing arterial blood gas index, serum level of beta 2, MG, parathyroid hormone level of PTH, heart rate, APACHE Ⅱ score, improve renal function. Results After nursing, the improvement of arterial blood gas index in observation group was significantly better than that in control group, P<0.05. After nursing, PTH value in the observation group was significantly higher and serum beta 2--MG level was significantly lower, P<0.05. Observation group of heart rate, APACHE Ⅱ score, renal function better obviously, P< 0.05. Conclusion Continuous renal replacement therapy has a significant therapeutic effect on ICU critical patients. On this basis, combined with comprehensive nursing intervention, can promote patients to recover as soon as possible.