人性化关怀在脓毒症并发急性肾损伤病人中的应用价值

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[目的]探讨人性化关怀在脓毒症并发急性肾损伤病人中的应用价值。[方法]选择94例脓毒症并发急性肾损伤病人采用随机信封抽签原则分为观察组和对照组各47例,对照组在治疗期间给予常规护理干预,观察组在常规护理的基础上给予人性化关怀,两组均于干预14d后进行疗效评价、白蛋白与总蛋白检测、降钙素原测定,并观察两组治疗期间感染、腹泻、出血、凝血并发症的发生情况。[结果]干预14d后,观察组治疗总有效率为97.9%,高于对照组的87.2%;并发症发生率为6.4%,低于对照组的34.0%;血清清蛋白(61.34g/L±6.81g/L)与总蛋白(113.74g/L±8.56g/L)高于对照组(45.98g/L±5.91g/L,78.14g/L±9.14g/L),血清降钙素原值(2.67ng/mL±0.89ng/mL)低于对照组(5.87ng/mL±1.23ng/mL),差异均有统计学意义(P<0.05)。[结论]对脓毒症并发急性肾损伤病人应用人性化关怀能降低病人血清降钙素原含量,改善机体营养状况,减少并发症的发生,提高疗效。 [Objective] To explore the value of humanized care in patients with sepsis complicated with acute kidney injury. [Method] Choose 94 cases of sepsis complicated with acute renal injury patients randomized to the randomized ballot test, divided into observation group and control group, 47 cases in each group. The control group was given routine nursing intervention during the treatment period. The observation group was given humanity on the basis of routine nursing After 14 days of intervention, both groups were evaluated for therapeutic effect, albumin and total protein, procalcitonin, and the incidence of infection, diarrhea, hemorrhage and coagulation complications during the two groups were observed. [Results] After 14 days of intervention, the total effective rate of the observation group was 97.9%, higher than that of the control group (87.2%). The complication rate was 6.4%, lower than that of the control group (34.0%). Serum albumin (61.34g / L ± (45.98g / L ± 5.91g / L, 78.14g / L ± 9.14g / L) and total protein (113.74g / L ± 8.56g / L) (2.67ng / mL ± 0.89ng / mL) was lower than that of the control group (5.87ng / mL ± 1.23ng / mL), the difference was statistically significant (P <0.05). [Conclusion] The application of humanized care to patients with sepsis and acute kidney injury can reduce the serum procalcitonin, improve the nutritional status, reduce the incidence of complications and improve the curative effect.
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