摘要
目的探讨早期集束化护理对小儿脓毒症患者肠功能的预防效果。方法将80例小儿脓毒症患者按照护理方式随机分为对照组(n=40)与观察组(n=40),分别采用常规护理与早期集束化护理干预。比较两组患儿护理干预前后急性生理学及慢性健康状况评分系统(APACHEⅡ评分)、肠功能障碍评分、D-乳酸水平变化情况。结果 1两组护理后APACHEⅡ评分均显著小于护理前(P<0.05),且观察组护理后APACHEⅡ评分小于对照组(P<0.05);对照组护理前后肠功能障碍评分差异无统计学意义(P>0.05),但观察组护理后肠功能障碍评分显著小于护理前及对照组护理后(P<0.05);2两组护理后血浆D-乳酸水平均显著小于护理前(P<0.05),且观察组护理后血浆D-乳酸水平显著小于对照组(P<0.05)。结论早期集束化护理对小儿脓毒症患者肠功能的预防效果显著,应在临床上进行推广应用。
Objective To investigate the effect of early cluster of preventive care for children with bowel function in patients with sepsis. Methods A total of 80 cases of pediatric care in accordance with the manner in patients with sep-sis were randomly divided into control group（n=40）with the observation group（n=40）,respectively,using conventional cluster nursing care and early intervention. Two groups of children before and after nursing intervention in acute physi-ology and chronic health evaluation（APACHEII score）,intestinal dysfunction score,D-lactate level changes. Results（1） after two treatments APACHE II scores were significantly lower than before treatment （P0.05）,but the observa-tion group care and bowel dysfunction scores were significantly lower than pre-treatment and post-treatment control group（P〈0.05）; （2）the two groups after treatment plasma D- lactate levels were significantly lower than care before（P〈0.05）,and the observation group＇s D- plasma lactate levels were significantly lower than the control group after treatment （P〈0.05）. Conclusion Early cluster nursing preventive effect on bowel function in patients with sepsis in children significantly and should be promoted in clinical applications.
出处
《中国现代医生》
2015年第12期144-146,共3页
China Modern Doctor
关键词
小儿脓毒症
集束化护理
预防效果
肠功能
Pediatric sepsis
Cluster nursing
Preventive effect
Bowel function
