摘要
目的分析儿童严重脓毒症行连续性血液净化治疗的护理效果。方法选取我院2016年9月-2019年9月行连续性血液净化治疗的严重脓毒症患儿50例,采用随机数字表法分为两组,各25例。对照组给予常规护理干预,观察组在对照组的基础上给予综合护理干预,比较两组护理前后炎症因子水平及并发症发生情况。结果护理前,两组血清C反应蛋白(CRP)、肿瘤坏死因子(TNF-α)、降钙素原(PCT)水平比较,差异无统计学意义(P>0.05);治疗后,观察组血清CRP、TNF-α、PCT水平均低于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论严重脓毒症患儿行连续性血液净化治疗期间给予综合护理干预的效果较好,可以有效降低患儿炎症因子水平,降低并发症的发生风险,利于患儿病情好转。
Objective To analyze the nursing effect of continuous blood purification treatment in children with severe sepsis.Methods Fifty children with severe sepsis who underwent continuous blood purification treatment in our hospital from September 2016 to September 2019 were selected and divided into 2 groups by random number table method,each with 25 patients. The control group was given routine nursing intervention,and the observation group was given comprehensive nursing intervention on the basis of the control group,and the levels of inflammatory factors and complications before and after nursing were compared between the two groups.Results Before nursing,there was no significant difference in serum C-reactive protein( CRP),tumor necrosis factor( TNF-α),and procalcitonin( PCT) levels between the two groups( P>0.05). After treatment,the observation group serum The levels of CRP,TNF-α,and PCT were lower than those in the control group,and the differences were statistically significant(P<0.05);the total incidence of complications in the observation group was lower than that in the control group,and the differences were statistically significant(P< 0.05). Conclusion Children with severe sepsis have better effects of comprehensive nursing intervention during continuous blood purification treatment,which can effectively reduce the level of inflammatory factors and reduce the risk of complications,which is beneficial to the improvement of children’s condition.
作者
谢雯婷
XIE Wen-ting(PICU of Jiujiang Maternal and Child Health Hospital,Jiujiang Jiangxi 332000,China)
出处
《透析与人工器官》
2020年第1期50-52,共3页
Chinese Journal of Dialysis and Artificial Organs
关键词
严重脓毒症
连续性血液净化
综合护理干预
炎症因子
并发症
Severe sepsis
Continuous blood purification
Comprehensive nursing intervention
Inflammatory factors
Complications
