摘要
目的探讨整体护理在严重胸部创伤并发急性呼吸窘迫综合征(ARDS)患者中的应用效果。方法择取2017年1月~2018年12月我院收治的严重胸部创伤并发ARDS100例患者作为研究对象,均使用呼气末正压通气(PEEP)加以治疗,依照随机数字表法分成对照组(n=50)和观察组(n=50)。对照组仅实施常规护理,观察组则行整体护理。比较两组临床治愈率、并发症发生率及血气分析指标。结果观察组临床治愈率达94%,高于对照组的76%,差异有统计学意义(P<0.05);观察组并发症总发生率为4%,低于对照组的26%,差异有统计学意义(P<0.05);两组护理前动脉二氧化碳分压(PaCO2)、动脉氧气分压(PaO2)、氧合指数(PaO2/FiO2)比较,差异无统计学意义(P>0.05);两组护理后PaO2、PaO2/FiO2指数均高于护理前,PaCO2低于护理前,差异有统计学意义(P<0.05);观察组护理后、PaO2、PaO2/FiO2指数高于对照组,PaCO2低于对照组,差异有统计学意义(P<0.05)。结论整体护理应用于严重胸部创伤并发ARDS患者,可明显提高治愈率,显著减少并发症,明显改善血气分析指标,患者恢复加快。
Objective To analyze the effect of holistic nursing on patients with severe chest trauma complicated with acute respiratory distress syndrome(ARDS).Methods One hundred patients with severe chest trauma complicated with ARDS admitted to our hospital from January 2017 to December 2018 were enrolled.All patients were treated with positive end-expiratory pressure ventilation(PEEP).According to the random number table method,they were divided into the control group(n=50)and the observation group(n=50).In the control group,only routine care was performed,and in the observation group,holistic nursing was performed.The cure rate,complication rate and blood gas analysis index were compared between the two groups.Results The cure rate of the observation group was 94%,which was higher than 76%of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was 4%,which was lower than that of the control group(26%).The difference was statistically significant(P<0.05).There were no significant differences in the preoperative CO2 partial pressure(PaCO2),arterial oxygen partial pressure(PaO2),and oxygenation index(PaO2/FiO2)indices between the two groups(P>0.05).After treatment,the PaO2,PaO2/FiO2 index were higher than the pre-treatment,PaCO2 was lower than that the pretreatment and the differences were statistically significant(P<0.05).The PaCO2 was lower than that after treatment,the PaO2,PaO2/FiO2 index of the observation group were high after treatment in the control group,the differences were statistically significant(P<0.05).Conclusion The holistic nursing application to patients with severe chest trauma complicated with ARDS can significantly improve the cure rate,significantly reduce complications,significantly improve blood gas analysis indicators,and accelerate patient recovery.
作者
徐俊苗
何雁洪
梁翠桃
XU Jun-miao;HE Yan-hong;LIANG Cui-tao(Department of Neurology,Sanshui District People's Hospital of Foshan City,Guangdong Province,Foshan 528100,China)
出处
《中国当代医药》
2019年第21期209-211,共3页
China Modern Medicine
基金
广东省佛山市卫生和计生局医学科研课题(20180376)
关键词
严重胸部创伤
急性呼吸窘迫综合征
护理措施
Severe chest trauma
Complicated acute respiratory distress syndrome
Nursing measures
