应用量化评分法指导脑复苏患者高压氧治疗时机的选择和护理.pdfVIP

· l6· 中国实用护理杂志2008年1月I1日第24卷第l期中旬版 ChinJPracNurs，January lIth 2008，Vo1．24，No．IB · 内科 护理 · 应用量化评分法指导脑复苏患者高压氧治疗 时机的选择和护理 吴荣 欧惠娟 苏小莲 【摘要】目的 探讨联合应用简化急性生理学评分(SAPS II)和9条等值护理人力应用评分法 (NEMS)指导脑复苏患者高压氧治疗时机选择和护理措施制订的意义。方法 回顾性分析43例初 级心肺复苏成功患者的病历资料，对入住ICU未超过24 h的患者进行SAPS II、NEMS评分；按高压 氧治疗过程中患者的状况分成发生意外情况组和未发生意外情况组，比较2组评分的差异。结果 43例患者中，有6例在高压氧治疗过程中发生意外情况。发生意外情况组的SAPS II、NEMS评分明显 高于未发生意外情况组(PO．05)；发生意外情况的6例患者中，有4例同时存在SAPS II评分60 分，NEMS评分4O分。结论 SAPS II、NEMS评分对脑复苏患者进行高压氧治疗时机选择有指导 作用；对SAPSlI评分60分，NEMS评分40分的患者需要加强护理。 【关键词】简化急性生理学评分；9条等值护理人力应用评分；脑复苏； 高压氧 Study on the time selection and nursing measure establishment for patients tr~ted with tlBO after cerebral resuscitation、】Iritll SAPSⅡand NEMS U Rong,OU Hui-juan,SU Xiao-liaa．HBO Depart- ment ofthe Second People Hospital ofShenzhen，Shenzhen 518035,China 【Abstract】Objective To study the significance of combination of simplified acute physiology score II(SAPS II)and nine equivalent of nursing manpower use score(NEMS)to direct the time selection and nursing measure establishment for patients treated with hyperbaric oxygen(HBO)~er cerebral resuscita- tion． MetllOds We retrospectively analyzed 43 patients after successful cardiopulmonary resuscitation who were in ICU less than 24h and graded them with the combination of SAPS II and NEMS．Than we di— vided these patients into the accident group and the non—accident group according to whether accidents happened during the HBO treatment and compared their grade difference． Results 6 patients got acci— dents among which 4 patients with SAPS II grade above 60 and NEMS grade above 40．The SAPS II and NEMS grades in the accident group are higher than that in the non-accident(PO．05)．Conclusion The SAPS 1I and NEMS grading methods have instructive effect on the time selection of HBO treatment and we should pay intensive attention to patients whose SAPS II