SIRS评分指导高危妊娠病人护理的多中心研究.docVIP

SIRS评分指导高危妊娠病人护理的多中心研究 SIRS6 SIRS评分指导高危妊娠病人护理的多中心研究 耿岩史计月①②李l临英谷俊霞①彭瑞芹孙力①河北省邯郸市中心医院056002 中国图书分类号11173文献标识码A文章编号lOO1-4411(2007】06-0719-04 【摘要】目的:研究全身炎症反应综合征(SIRS)评分指导高危险(高危)妊娠病人护理的效果与意义.方法:5所 医院符合高危妊娠疾病病人300例,相同的护理规程,监护与检测条件下,分别应用急性生理学与慢性健康状况评分II(SPA? CHEII,I组)和SIRS评分(II组)指导护理实施,以治疗干预指数评分(TISS)于入院4(T0),24(T1),48(T2),96h(T 3)和7天时评估医疗护理措施,对比分析患者出院或死亡为终点目标时严重并发症发生率;患者,亲属与医师对护理工作的满 意率.结果:TISS评分,ID时差别无意义(Pgt;0.05),T1差别出现显着意义(Plt;0.05),T2和T3差别则有极显着意义(Plt; 0.01),T4时II组仍低于I组,但已无显着意义(Pgt;0.05);终点目标时I组150例患者并发急性肾功能障碍(ARF)5例,急 性肺损伤(ALI)/ARDS3例,脑出血2例,多脏器功能障碍综合征(MODS)5例,死亡3例;II组分别为1例,0例,1例,1 例和0例,I组多于II组,总体痊愈出院组间差异有显着意义(Plt;0.01);终点百分满意度I组分别为0.85s0.08,0.74s0.16 和0.89s0.12;II组则分别为0.95s0.03,0.92±0.06和0.98s0.02,组间对比差别均有极显着意义(Plt;0.01).结论:SIRS 评分以常用护理生命体重观察指标为数据,具有简便,易操作,实用的特点,可显着提高高危妊娠病人的护理质量. 【关键词】高危险妊娠全身炎症反应综合征评分急性生理学慢性健康状况SPACHEⅡ护理指导 Muti—centerapplicationresearchofgradingofSIRSinhospitalnursingofthelIiglI dangergraviditypatientsGENGYan,SHIJi—Yue,LILin—Yingeta1.CenterHospitalofHandan,Handan 056029,Hebei,China [Abstract]Objective:TostudytheeffectandimportanceofgradingofSIRSinnursingthehighdangergravidity patients.Methods:Therewere300casesin5hospitalssizeduptoourresearchandtheywerenursedandwardedandcheckedaccordingto samestandard.Theyweredividedintotwogroupsusingrandom—double—blindmethod.GroupAwasgradedbySPACHEIIandgroupB wasgradedbySIRS.TheirnursingandcuringcoursewereallevaluatedandgradedbyTISSbyappointedmanattimesof4(TO)and24 (T1)and48(T2)and96(T3)hoursand7daysafteradmission.Radiosoftheoccurrenceofcomplicationsandsatisfactionrateofpatients andrelationsandtheirdoctorswereanalyzedandcontrasted.Results:AccordingtothegradingofTISStherewasnonotabledifferenceatT 0(Pgt;0.05)whiletherewasatT1(Plt;0.05)andextremenotabledifferenceatT2andT3(Plt;0.01).AlthoughgroupAwaslower thangroupBbuttherewasnonotabledifferenceatT4(Pgt;0.05).TheoccurredcomplicationsingroupAwere:ARF5cases,A ARDS3cases.cerebralhemorrhage2cases,MODS5casesanddeath3caseswhilegroupBwere:ARF1cases,ALI/RDS0cases,cere? bralhemorr