本文關(guān)鍵詞：毒蛇咬傷腎損害患者急性感染的臨床護(hù)理措施研究　出處：《中華醫(yī)院感染學(xué)雜志》2016年05期 　論文類型：期刊論文

  更多相關(guān)文章： 毒蛇咬傷 腎損害 急性感染 護(hù)理效果 病死率

【摘要】：目的探討毒蛇咬傷腎損害發(fā)生急性感染患者的臨床護(hù)理方法及護(hù)理效果,以減輕腎功能損害,降低臨床病死率。方法選取2012年1月-2015年8月醫(yī)院診治的80例毒蛇咬傷腎損害發(fā)生急性感染患者臨床資料進(jìn)行分析,采用隨機(jī)對照方法分為對照組和試驗(yàn)組,每組各40例;對照組采用常規(guī)方法護(hù)理,試驗(yàn)組實(shí)施綜合護(hù)理干預(yù),比較兩組患者護(hù)理效果、腎功能等指標(biāo)及并發(fā)癥發(fā)生率,采用SPSS18.0軟件對數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果試驗(yàn)組患者入院處置完成、機(jī)械通氣及住院時(shí)間顯著短于對照組;兩組患者治療前24h尿蛋白、紅細(xì)胞及血肌酐差異無統(tǒng)計(jì)學(xué)意義;試驗(yàn)組患者護(hù)理后24h尿蛋白、紅細(xì)胞及血肌酐顯著低于對照組(P0.05);試驗(yàn)組患者發(fā)生呼吸衰竭、肝腎衰竭及休克昏迷例數(shù)顯著低于對照組,以上數(shù)據(jù)比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論毒蛇咬傷腎損害發(fā)生急性感染患者治療過程中實(shí)施綜合護(hù)理干預(yù)效果理想,能夠提高臨床療效,改善患者腎功能。
[Abstract]:Objective to investigate the clinical nursing methods and efficacy of renal damage in patients with acute infection of snakebite occurred, in order to reduce the damage of renal function, reduce the clinical mortality. Methods from January 2012 -2015 year in August the hospital for treatment of 80 cases of snakebite renal injury in patients with acute infection clinical data were analyzed and randomly divided into control group and test group, 40 cases in each group; the control group received conventional nursing, the experimental group received comprehensive nursing intervention, compared two groups of patients with nursing effect, the incidence of renal function index and complications, using SPSS18.0 software for statistical analysis of data. The results of the experimental group patients completed the disposal, mechanical ventilation and hospitalization time was significantly shorter than the control group 24h; urinary protein before treatment in two groups, no significant differences in red blood cell and serum creatinine; urinary protein in 24h patients after nursing experimental group, red blood cell and serum creatinine Significantly lower than the control group (P0.05); test group of patients with respiratory failure, kidney failure and shock coma were significantly lower than the control group, above data comparison, the differences were statistically significant (P0.05). The implementation of comprehensive nursing intervention effect is ideal conclusion snakebite treatment of renal damage in patients with acute infection process, can improve the clinical efficacy, improvement the renal function of patients.

【作者單位】： 貴州省遵義醫(yī)學(xué)院附屬醫(yī)院急診科;遵義市第一人民醫(yī)院急診科;
【基金】：貴州省衛(wèi)生廳科學(xué)技術(shù)基金資助項(xiàng)目(GZWKJ2009-1-013)
【分類號】：R473.6
【正文快照】： 毒蛇咬傷在我國南方農(nóng)村夏季比較常見,患者被毒蛇咬傷后毒液進(jìn)入到人體內(nèi)迅速擴(kuò)散到全身,導(dǎo)致機(jī)體代謝紊亂,嚴(yán)重者甚至出現(xiàn)死亡�；颊弑欢旧咭�,早期如果未采取積極有效的方法治療,將會(huì)出現(xiàn)呼吸困難,嚴(yán)重者甚至出現(xiàn)呼吸衰竭、腎損害,部分患者甚至引起急性感染,威脅患者生命，

本文編號：1390769