Ecmo治疗重症患者的护理模式探讨

F. Xie
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摘要

目的:评价Ecmo治疗重症患者的护理效果。方法:选取66例经体外膜肺氧合治疗的患者作为实验资料。2018年8月至2019年8月,采用随机数字表法将患者分为实验组和参照组,每组33例。进行常规护理和针对性护理,比较两组患者并发症的发生情况。结果:(1)治疗前体外膜肺氧合治疗相关指标一致,P>0.05,治疗后2 h、4h的氧饱和度、氧分压实验组高于对照组,治疗后2 h、4h的二氧化碳分压实验组低于对照组,与对照组比较,数据检验差异有统计学意义(PP>0.05)。(2)实验组感染、出血、凝血、栓塞、低血压发生率(12.12%)低于对照组(45.45%),差异有统计学意义(P<0.05)。结论:重症患者采用体外膜肺氧合的针对性护理效果,可有效提高治疗成功率,治疗过程中出现并发症的可能性低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Discussion on Nursing Mode of Ecmo in Treating Severe Patients
Objective: To evaluate the nursing effect of Ecmo treatment for severe patients.Methods :66 patients treated with extracorporeal membrane pulmonary oxygenation were included in the experimental data. From August 2018 to August 2019, the patients were divided into experimental group and reference group by random digital table method, each group was 33 cases. Routine nursing and targeted nursing were performed to compare the complications of the two groups.Results :(1) The correlation index of extracorporeal membrane pulmonary oxygenation treatment before treatment was consistent, P>0.05, the oxygen saturation and oxygen partial pressure of 2 h、4h after treatment in the experimental group were higher than those in the reference group, compared with the reference group, the carbon dioxide partial pressure of 2 h、4h after treatment in the experimental group was lower, showing statistical significance of data test (PP>0.05). (2) The incidence of infection, bleeding, coagulation, embolism and hypotension in the experimental group (12.12%) was lower than that in the reference group (45.45%), showing statistical significance (P<0.05).Conclusion: the specific nursing effect of extracorporeal membrane pulmonary oxygenation in severe patients can effectively improve the success rate of treatment, and the possibility of complications during treatment is low.
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