综合护理监测在高龄重症患者持续血液滤过中的应用研究(1)
摘 要：目的 研究在高龄重症患者持续血液滤过中应用合护理监测的效果。方法 选择22例于我院重症医学科行床边CVVH治疗的老年患者(≥65岁)，所有患者均行持续性静脉血液流过(CVVH)治疗，在此基础上加强综合护理监测(观察组)，抽取同期20例CVVH治疗常规护理老年患者作对照(对照组)，观察并对比两组并发症发生率。结果 观察组并发症发生率为13.21%，低于对照组的32.52%，组间对比差异有统计学意义(P<0.05)。结论 在高龄重症患者持续血液滤过中应用合护理监测，有助于降低并发症发生率，具有积极的应用价值。
关键词：综合护理监测;高龄重症患者;持续血液滤过
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.066
, 百拇医药
文章编号：1006-1959(2018)05-0178-02
Application of Comprehensive Nursing Monitoring in Elderly Severe Patients with Continuous Hemofiltration
SUN Ya-jun
(Department of Intensive Medicine，One Subject，4th Central Hospital of Tianjin，Tianjin 300140，China)
Abstract：Objective To study the effect of combined nursing monitoring in elderly patients with severe hemofiltration.Methods 22 elderly patients (≥65 years old)treated with bedside CVVH in our department of critical care were selected.Continuous venous blood flow via(CVVH)treatment，on this basis，comprehensive nursing monitoring was strengthened(observation group)，20 cases of CVVH treatment in the same period as control group(control group)，observation and comparison of the incidence of complications between the two groups.Results The incidence of complications in the observation group was 13.21%，which was lower than that in the control group 32.52%，the difference between the two groups was statistically significant(P<0.05).Conclusion The application of combined nursing monitoring in elderly patients with severe hemofiltration is helpful to reduce the incidence of complications.It has positive application value.
, 百拇医药
Key words：Comprehensive nursing monitoring;Elderly severe patients;Continuous hemofiltration
连续性静脉血液滤过(continuous veno-venous hemofiltration，CVVH)具有血流动力学稳定、有助于纠正水电解质紊乱、清除患者体内多余容量等特点，在治疗高龄重症患者疾病过程中起到了重要作用，不仅可以治疗慢性肾衰竭患者，还能广泛应用于危重症患者的治疗中，高龄患者的基础疾病非常多，在血液滤过治疗过程中，容易引发很多并发症，为了确保高龄危重患者治疗的安全性，加强综合护理监测非常必要[1]。本次研究主要选择我院收治的部分高龄重症患者为研究对象，对其展开持续血液滤过治疗，并在此基础上实施综合护理监测，现报道如下。
1资料与方法
1.1一般资料 选择2015年1月～2017年1月于天津市第四中心医院重症医学科行床边CVVH治疗并采取综合护理监测的22例患者作为观察组，男13例，女9例，年龄65～86岁，平均年龄(72.20±5.81)岁，主要包括多器官功能障碍综合征8例，严重脓毒症与浓度性休克9例，心功能不全2例，其他3例。抽取同期20例CVVH治疗常规护理老年患者作为对照组，其中男12例，女8例，年龄68～88岁，平均年龄(71.91±5.62)歲，其中多器官功能障碍综合征8例，严重脓毒症与浓度性休克8例，心功能不全2例，其他2例。两组患者基线资料相比，差异无统计学意义(P>0.05)，有可比性。, http://www.100md.com(孙雅军)
关键词：综合护理监测;高龄重症患者;持续血液滤过
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.066
, 百拇医药
文章编号：1006-1959(2018)05-0178-02
Application of Comprehensive Nursing Monitoring in Elderly Severe Patients with Continuous Hemofiltration
SUN Ya-jun
(Department of Intensive Medicine，One Subject，4th Central Hospital of Tianjin，Tianjin 300140，China)
Abstract：Objective To study the effect of combined nursing monitoring in elderly patients with severe hemofiltration.Methods 22 elderly patients (≥65 years old)treated with bedside CVVH in our department of critical care were selected.Continuous venous blood flow via(CVVH)treatment，on this basis，comprehensive nursing monitoring was strengthened(observation group)，20 cases of CVVH treatment in the same period as control group(control group)，observation and comparison of the incidence of complications between the two groups.Results The incidence of complications in the observation group was 13.21%，which was lower than that in the control group 32.52%，the difference between the two groups was statistically significant(P<0.05).Conclusion The application of combined nursing monitoring in elderly patients with severe hemofiltration is helpful to reduce the incidence of complications.It has positive application value.
, 百拇医药
Key words：Comprehensive nursing monitoring;Elderly severe patients;Continuous hemofiltration
连续性静脉血液滤过(continuous veno-venous hemofiltration，CVVH)具有血流动力学稳定、有助于纠正水电解质紊乱、清除患者体内多余容量等特点，在治疗高龄重症患者疾病过程中起到了重要作用，不仅可以治疗慢性肾衰竭患者，还能广泛应用于危重症患者的治疗中，高龄患者的基础疾病非常多，在血液滤过治疗过程中，容易引发很多并发症，为了确保高龄危重患者治疗的安全性，加强综合护理监测非常必要[1]。本次研究主要选择我院收治的部分高龄重症患者为研究对象，对其展开持续血液滤过治疗，并在此基础上实施综合护理监测，现报道如下。
1资料与方法
1.1一般资料 选择2015年1月～2017年1月于天津市第四中心医院重症医学科行床边CVVH治疗并采取综合护理监测的22例患者作为观察组，男13例，女9例，年龄65～86岁，平均年龄(72.20±5.81)岁，主要包括多器官功能障碍综合征8例，严重脓毒症与浓度性休克9例，心功能不全2例，其他3例。抽取同期20例CVVH治疗常规护理老年患者作为对照组，其中男12例，女8例，年龄68～88岁，平均年龄(71.91±5.62)歲，其中多器官功能障碍综合征8例，严重脓毒症与浓度性休克8例，心功能不全2例，其他2例。两组患者基线资料相比，差异无统计学意义(P>0.05)，有可比性。, http://www.100md.com(孙雅军)