延续性护理干预在颈部大面积烧伤患者中临床效果及对机体免疫影响.docVIP

延续性护理干预在颈部大面积烧伤患者中临床效果及对机体免疫影响 　　[摘要] 目的 探?延续性护理干预在颈部大面积烧伤患者中的临床效果及对机体免疫的影响。 方法 回顾性分析2015年3月～2017年4月甘孜州人民医院医院收治的颈部大面积烧伤100例患者的临床资料，根据护理方法不同分为对照组和观察组，每组各50例。对照组采用常规方法护理，观察组采用延续性护理干预，采用流式细胞计数仪测定并比较两组患者外周血T淋巴细胞亚群水平，比较两组护理效果及对机体免疫的影响。 结果 护理后观察组依从率（96.00%）明显高于对照组（84.00%），差异有统计学意义（P 0.05）；护理后观察组CD4+、CD8+和CD4+/CD8+均高于对照组，差异有统计学意义（P 0.05）。 结论 将延续性护理干预用于颈部大面积烧伤患者中效果理想，有助于提高患者的治疗依从性，改善机体免疫水平，值得临床推广应用。 　　[关键词] 延续性护理干预；颈部大面积烧伤；临床效果；机体免疫 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210（2018）03（b）-0150-04 　　Clinical study of continuous nursing intervention in patients with extensive burn in the neck and its effect on the body immunity 　　LI Mei1 HU Kaixiu2 PENG Jianmei3 　　1.Department of Otolaryngology Head and Neck Surgery， Ganzi Tibetan Autonomous Prefecture People′s Hospital， Sichuan Province， Ganzi 626000， China； 2.Department of Hospital Infection Management， Ganzi Tibetan Autonomous Prefecture People′s Hospital， Sichuan， Province， Ganzi 626000， China； 3.Department of Geriatrics and Psycho-Neurology， Ganzi Tibetan Autonomous Prefecture People′s Hospital， Sichuan Province， Ganzi 626000， China 　　[Abstract] Objective To explore the clinical effect of continuous nursing intervention in patients with extensive burn in the neck and its effect on the body immunity. Methods The clinical data of 100 patients with extensive neck burn treated in Ganzi Tibetan Autonomous Prefecture People′s Hospital were selected from March 2015 to April 2017 and divided into the control group and the observation group according to different nursing methods， with 50 cases in each group. The control group was given the routine nursing method and the observation group was given the continuous nursing intervention. The levels of T lymphocyte subsets in peripheral blood were measured by flow cytometry and compared between the two groups. The nursing efficacy and the effect on the body immunity were compared between the two groups. Results After nursing， the incidence of compliance in the observation grou