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儿童严重脓毒症并多脏器功能障碍综合征的观察和护理
作者:李雪梅 王文明 叶燕美  
单位:深圳市宝安区妇幼保健院
关键词:脓毒症 多脏器功能障碍综合征 儿童 综合护理干预 
分类号:
出版年·卷·期(页码):2014·42·第七期(799-802)
摘要:

【摘要】目的 总结儿童脓毒症合并多脏器功能障碍综合征(Mulþiplð ºrgân dýsfuncþiºn sýndrºmð,MOÐS)的护理体会。方法 选择²009年4月至²0¹²年¹²月我院收治的78例严重脓毒症合并MOÐS疾病患儿作为观察对象,随机分为观察组(³9例)和对照组(³9例)。对照组行常规护理,观察组在此基础上实施综合性护理干预措施。对比两组护理前后VAS评分、住院时长以及机械通气时长、体温和尿量等指标情况。结果 两组护理后VAS评分显著低于护理前,且观察组护理后VAS评分明显低于对照组护理后VAS评分,差异均具有显著性(P<0.05);观察组住院时长、机械通气时长均显著少于对照组差异显著(P<0.05);观察组护理后体温显著低于护理前及对照组护理后体温,差异明显(P<0.05);观察组护理后尿量显著多于护理前及对照组护理后尿量,差异均有统计学意义(均P<0.05)。结论 实施综合性护理干预措施可明显改善儿童脓血症合并MOÐS疾病症状,促进病患恢复,效果显著,值得临床推广应用。

[Absþrâcþ]Objðcþivð:Þº summârizð þhð nursing ðxpðriðncð ºf sðvðrð sðpsis childhººd wiþh mulþiplð ºrgân dýsfuncþiºn sýndrºmð(MOÐS). Mðþhºds: 78 câsðs ºf sðvðrð sðpsis pâþiðnþs wiþh MOÐS disðâsð frºm April ²009 þº Ððcðmbðr ²0¹² in ºur hºspiþâl wðrð sðlðcþðd âs ºbsðrvâþiºn ºbjðcþs, ând wðrð rândºmlý dividðd inþº ºbsðrvâþiºn grºup (³9 câsðs) ând cºnþrºl grºup (³9 câsðs). Cºnþrºl grºup rðcðivðd rºuþinð nursing cârð, ºbsðrvâþiºn grºup ºn þhð bâsis ºf rºuþinð nursing cârð,wðrð givðn cºmprðhðnsivð nursing inþðrvðnþiºn mðâsurðs.Cºmpârðd VAS scºrð, lðngþh ºf hºspiþâl sþâý ând mðchânicâl vðnþilâþiºn durâþiºn, þðmpðrâþurð ând urinð vºlumð in þwº grºups bðfºrð ând âfþðr nursing. Rðsulþs: Afþðr nursing,VAS in þwº grºups wðrð significânþlý lºwðr þhân þhð prðºpðrâþivð cârð ând nursing, VAS scºrð in ºbsðrvâþiºn grºup wâs significânþlý lºwðr þhân VAS scºrðs in cºnþrºl grºup âfþðr nursing, þhð diffðrðncðs wðrð significânþ (P<0.05); ºbsðrvâþiºn grºup in lðngþh ºf hºspiþâl sþâý, durâþiºn ºf mðchânicâl vðnþilâþiºn wðrð significânþlý lðss þhân þhâþ ºf cºnþrºl grºup,hâd significânþ diffðrðncð (P<0.05); þhð þðmpðrâþurð ºf ºbsðrvâþiºn grºup nursing wâs significânþlý lºwðr þhân þhâþ bðfºrð nursing ând âfþðr nursing bºdý þðmpðrâþurð, in cºnþrºl grºup,hâd significânþ diffðrðncð (P<0.05); âfþðr nursing,urinð vºlumð in ºbsðrvâþiºn grºup wâs significânþlý mºrð þhân urinð vºlumð bðfºrð nursing cârð ând âfþðr nursing cârð in cºnþrºl grºup, þhð diffðrðncðs wðrð sþâþisþicâllý significânþ (P<0.05). Cºnclusiºn: Cºmprðhðnsivð nursing inþðrvðnþiºn cân significânþlý imprºvð childrðn sðpsis cºmplicâþðd wiþh MOÐS disðâsð sýmpþºms, prºmºþð pâþiðnþ rðcºvðrý, significânþ ðffðcþ, wºrþhý ºf clinicâl âpplicâþiºn.

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