优质护理在急性肺血栓栓塞症救护中临床应用.docVIP

优质护理在急性肺血栓栓塞症救护中的临床应用 　　[摘要]目的 探讨优质护理在急性肺血栓栓塞症救护中的应用效果。方法 以我院2015年1月～2016年1月收治的急性肺血栓栓塞症患者150例为研究对象。根据随机数字表法将其分为观察组和对照组，各75例。统计两组患者的呼吸频率、血压、氧分压，同时比较两组患者的总满意度、住院时间和复发率。结果 观察组的呼吸频率、收缩压、氧分压均优于对照组（P0.01）。观察组患者的总满意度显著高于对照组（P0.01）。观察组患者的住院时间明显短于对照组，差异有统计学意义（P0.01）。观察组的复发率为2.7%，低于对照组的13.3%，差异有统计学意义（P0.05）。结论 优质护理方案能有效提高急性肺血栓栓塞症的救治效果，值得临床广泛推广。 　　[关键词]护理模式；急性发病；肺血栓 　　[中图分类号] R472.2 [文献标识码] A [文章编号] 1674-4721（2017）06（a）-0189-03 　　[Abstract]Objective To study the application effect of high quality nursing in the rescue of acute pulmonary thromboembolism.Methods 150 patients with acute pulmonary thromboembolism treated in our hospital from January 2015 to January 2016 were chosen and they were randomly divided into the observation group and the control group，each group had 75 cases according to the random number table method.The respiratory rate，blood pressure and oxygen partial pressure of the two groups were counted，and the total satisfaction degree，length of stay and recurrence rate between two groups were compared.Results The respiratory rate，systolic blood pressure and oxygen partial pressure in the observation group were better than those in the control group （P0.01）.The total satisfaction degree of the observation group was significantly higher than that of the control group （P0.01）.The length of stay of the observation group was significantly shorter than that of the control group，the difference was statistically significant （P0.01）.The recurrence rate of the observation group was 2.7%，which was lower than that of the control group （13.3%），and the difference was statistically significant （P0.05）.Conclusion The high quality nursing program can effectively improve the rescue effect of acute pulmonary thromboembolism，and it is worthy of clinical wide popularization. 　　[Key words]Nursing model；Acute onset；Pulmonary embolism 　　肺血栓栓塞?Y的发生与人们生活方式不断变化息息相关，近年来有愈发严重的趋势，其中多数患者为急性肺血栓栓塞症[1]。该病症主要是由于来自静脉系统或右心室的血栓阻塞肺动脉或其分支所致的一类疾病，患者发病后多发生呼吸功能障碍，且伴有不同程度的肺循环障碍等[2-3]。该疾病发病率上升快、病情急，