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目的观察婴儿肝脏综合征中应用临床路径护理对其肝纤维化指标的改进效果。方法选取我院产科2015年收治的180例纤维化肝综合征的婴儿作为治疗对象,随机分为临床护理组和传统治疗组每组各90例,对照组婴儿均接受现代药物常规治疗,实验组在接受现代药物常规治疗同时实施临床路径护理。两组患儿均接受非创伤性肝脏纤维化血清学检测和多普勒影像学检测,治疗疗程为2周,共计3个疗程,治疗过程中认真记录肝纤维化指标前后变化,使用统计分析软件进行效果差异性分析。结果经6周的护理和治疗,影像学分析两组患儿的肝纤维化均得到有效缓解。临床路径护理组患儿的肝纤维化指标前后变化显著优于对照组(P<0.05),具有统计学意义。结论实施临床路径护理可以有效地缓解婴儿肝脏综合征中肝纤维化的发展,实施非创伤性血清学指标检测为婴儿肝脏综合征中肝纤维化的发生起到预防和监控作用。
Objective To observe the clinical pathological nursing of liver syndrome in infants with improved effect of liver fibrosis index. Methods 180 infants with fibrotic liver syndrome admitted in obstetrics of our hospital in 2015 were randomly divided into clinical nursing group and traditional treatment group with 90 cases in each group. The control group of infants were treated with conventional drugs. The experimental group To accept the routine treatment of modern drugs while implementing clinical pathway care. Two groups of children underwent non-invasive liver fibrosis serology and Doppler imaging examination, the course of treatment for 2 weeks, a total of three courses, the course of treatment carefully recorded changes in liver fibrosis before and after the use of statistical analysis software Analysis of the effect of differences. Results After 6 weeks of nursing and treatment, liver fibrosis was effectively relieved in both groups. The changes of liver fibrosis index in clinical pathological care group were significantly better than those in control group (P <0.05), with statistical significance. Conclusion The implementation of clinical pathological nursing can effectively alleviate the development of liver fibrosis in infantile liver syndrome. The implementation of noninvasive serological detection can prevent and monitor the occurrence of hepatic fibrosis in infantile liver syndrome.