ICU治疗MODS对患者生活质量和治疗依存性影响.docVIP

ICU治疗MODS对患者生活质量和治疗依存性影响 　　[摘要] 目的 对ICU在MODS治疗中的价值进行研究，为临床治疗和相关研究提供数据支持。 方法 选取我院2012年6月～2013年6月治疗的MODS患者58例为研究对象，采用随机数字表法将其分为观察和对照组，观察组38例，按ICU模式予以治疗；对照组20例，按常规予以治疗。就疗效，并发症发生率，治疗依从性等数据进行组间比较及数据分析。 结果 观察组研究对象的总有效率为84.2%显著优于对照组55.0%的平均总有效率（P0.05）；观察组研究对象并发症发生率为15.8%低于对照组30.0%的并发症发生率，且差异有统计学意义（P0.05）；观察组研究对象治疗依从率为94.7%高于对照组80.0%的治疗依从率，且差异有统计学意义（P0.05）。 结论 ICU用于MODS患者的护理中能够显著提升临床疗效，降低并发症，提升治疗依从性，对改善预后及生活质量均具有重要价值。 　　[关键词] ICU；MODS；并发症；治疗依从性；价值 　　[中图分类号] R459.7 [文献标识码] B [文章编号] 2095-0616（2015）15-215-03 　　[Abstract] Objective To research on values of ICU in the treatment of mods to provide data support for clinical treatment and correlational research. Methods 58 patients with MODS who were treated in our hospital from June 2012 to June 2013 were selected as research subject， and they were divided to observation group and control group through random number table. 38 patients of observation group were treated with ICU mode， and 20 patients of control group were treated with conventional methods. Data of clinical effect， incidence rate of complication， treatment dependency were compared among groups and analyzed. Results Total effective rate of observation group was 84.2%， which was significantly higher than 55.0% average total effective rate of control group （P0.05）. Incidence rate of complication of observation group was 15.8%， which was lower than 30.0% of control group， and it has significant difference （P0.05）. The rate of treatment dependency was 94.7%， which was higher than 80.0% of control group， and it has significant difference （P0.05）. Conclusion ICU in the nursing of patients with MODS can significantly improve clinical effect， reduce incidence rate of complication， and improve treatment dependency， which has important value on improving prognosis and quality of life. 　　[Key words] ICU； MODS； Complication； Treatment dependency； Value 　　MODS即多器官功能障碍综合征是指因创伤、感染、炎症、休克等因素引发肝肾等多脏器衰竭，进而危及患者生命[1]。虽然近年来病因治疗和器官功能支持治疗取得了飞速的进展，使MODS的疗效得到显著改善，但MODS的死亡率依然高达50%，且随着衰竭器