体外膜肺氧合联合连续性肾脏替代治疗危重症患者的护理

Nursing Care of critically Patients treated with extracorporeal Membrane Oxygenation combined with continuous renal Replacement Therapy

目的分析体外膜肺氧合(ECMO)联合连续性肾脏替代治疗(CRRT)用于危重症患者的护理方法。方法回顾性分析2020年1月至2023年1月在河南省人民医院开展ECMO联合CRRT的危重症患者共200例的临床资料,结合不同护理方式分成对照组(常规护理)80例和观察组(综合护理)120例,比较两组干预前后的血肌酐、尿素氮、血钾以及酸碱度值;并发症情况;治疗时间及费用;对护理工作的满意度。结果干预前,两组血肌酐、尿素氮、血钾、酸碱度值相比,差异无统计学意义(P>0.05);干预后,观察组血肌酐、尿素氮、血钾低于对照组,酸碱度值高于对照组,差异有统计学意义(P<0.05)。观察组的并发症占比低于对照组,差异有统计学意义(P<0.05)。观察组的治疗时间及费用少于对照组,差异有统计学意义(P<0.05)。观察组的满意度高于对照组,差异有统计学意义(P<0.05)。结论ECMO联合CRRT治疗危重症患者期间加以综合护理效果理想,能够改善其肾功能以及机体内环境,减少并发症出现,提升满意度,值得采用。

Objective To analyze the nursing methods of extracorporeal membrane oxygenation(ECMO)combined with continuous renal replacement therapy(CRRT)for critically patients.Methods A retrospective analysis was conducted on the clinical data of 200 critically patients who underwent ECMO combined with CRRT at Henan Provincial People's Hospital from January 2020 to January 2023.Combined with different nursing methods,they were divided into a control group(conventional nursing)of 80 cases and an observation group(comprehensive nursing)of 120 cases.The blood creatinine,urea nitrogen,blood potassium,pH values,complications,treatment time,treatment cost and satisfaction with nursing work before and after the intervention were compared between the two groups.Results Before the intervention,there was no statistically significant difference in blood creatinine,urea nitrogen,blood potassium,and pH values between the two groups(P>0.05);After intervention,the blood creatinine,urea nitrogen,and potassium levels in the observation group were lower than those in the control group,and the pH value was higher than that in the control group,with statistically significant differences(P<0.05).The proportion of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The treatment time and cost of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of ECMO and CRRT in the treatment of critically patients has an ideal comprehensive nursing effect,which can improve their renal function and internal environment,reduce complications,and increase satisfaction.It is worth adopting.