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目的探讨对急救期重症烧伤患者进行输液和营养支持时实施路径护理的价值和效果。方法选取重症烧伤患者72例,按照随机数字表分为对照组和观察组,各36例,对照组接受常规护理,观察组接受路径护理,对比两组不良反应发生率、氮平衡值、血清白蛋白以及血红蛋白水平。计量资料采用t检验,计数资料采用χ~2检验,P<0.05为差异有统计学意义。结果护理后,观察组不良反应发生率为16.67%低于对照组97.22%,差异有统计学意义(P<0.05);观察组氮平衡值、血清白蛋白及血红蛋白水平[(0.90±0.10)g、(34.81±2.38)g/L、(115.22±10.26)g/L]高于对照组[(0.55±0.07)g、(30.25±2.42)g/L、(103.41±10.01)g/L],差异有统计学意义(均P<0.05)。结论对急救期重症烧伤患者进行输液及营养支持治疗时,辅以路径护理能显著降低不良反应发生率,改善患者营养状况,使其预后更佳。
Objective To explore the value and effect of path nursing in patients with severe burn in first aid stage during infusion and nutritional support. Methods Seventy-two patients with severe burn were selected and divided into control group and observation group according to random number table. Each group received 36 cases, while the control group received routine nursing. The observation group received route nursing. The incidence of adverse reactions, nitrogen balance, Protein and hemoglobin levels. Measurement data using t test, count data using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results After treatment, the incidence of adverse reactions in the observation group was 16.67%, which was lower than that in the control group (97.22%) (P 0. 05). The nitrogen balance, serum albumin and hemoglobin level [(0.90 ± 0.10) g , (34.81 ± 2.38) g / L and (115.22 ± 10.26) g / L] were significantly higher than those in the control group [(0.55 ± 0.07) g and (30.25 ± 2.42) g / The difference was statistically significant (all P <0.05). Conclusion During the treatment of patients with severe burns in the emergency period, the pathological nursing supplemented with route nursing can significantly reduce the incidence of adverse reactions and improve the nutritional status of patients with better prognosis.