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目的:了解中心静脉压监测和护理措施对ICU收治危重患者的病情治疗影响状况。方法:纳入笔者所在医院2015年至2017年期间ICU科室收治的危重症患者相关临床资料为对象,从中选取80例并通过随机数字表方式分为对照组(未进行中心静脉压监测)和观察组(采取静脉压监测和对应护理干预),每组40例。对两组患者预后质量相关指标进行记录和对比。结果:对患者治疗干预后的疗效进行评估,提示观察组判定无效例数明显少于对照组,治愈率和总有效率等数据统计学软件处理后表示组间差异有意义(P<0.05);记录患者出现并发症情况,观察组出现多器官功能障碍综合征、感染以及其它类型并发症例数明显少于对照组,组间差异存在统计学意义(P<0.05);发放调查问卷了解患者对治疗期间服务质量满意程度,观察组患者满意率明显高于对照组,组间差异存在统计学意义(P<0.05)。结论:对ICU收治危急重症患者应重视对其中心静脉压的持续监测,有利于更及时详细地掌握患者各项指标如血容量、右心功能以及前负荷等,配合针对性护理与合理治疗方案可提高治疗效果,降低并发症发生率,构建和谐的医疗环境,值得重视推广。
OBJECTIVE: To understand the effect of central venous pressure monitoring and nursing intervention on the treatment of critically ill patients in ICU. Methods: The clinical data of critically ill patients admitted to ICU department from 2015 to 2017 were included in the hospital, 80 patients were selected and randomly divided into control group (without central venous pressure monitoring) and observation group (Take venous pressure monitoring and corresponding nursing intervention), 40 cases in each group. The prognosis of two groups of patients with quality-related indicators were recorded and compared. Results: The curative effect after treatment intervention was evaluated, which indicated that the number of ineffective cases in the observation group was significantly less than that in the control group. The data such as the cure rate and the total effective rate were statistically significant (P <0.05). The complications of the patients were recorded. In the observation group, multiple organ dysfunction syndrome was found. The number of infection and other types of complications was significantly less than that of the control group (P <0.05). Questionnaire was issued to understand the patients’ Satisfaction of service quality during the observation group was significantly higher than the satisfaction rate of patients, there was a statistically significant difference between groups (P <0.05). CONCLUSION: Continuous monitoring of central venous pressure in ICU should be paid more attention to critically ill patients with ICU, which is more conducive to grasp more detailed and detailed indicators of patients such as blood volume, right heart function and pre-load, with targeted nursing and reasonable treatment plan Can improve the therapeutic effect, reduce the incidence of complications, to build a harmonious medical environment, it is worth emphasizing the promotion.