【摘要】 目的探究连续性肾脏替代治疗(CRRT)在重症加强护理病房(ICU)危重患者治疗中的观察与护理效果。方法选取2018年1月～2020年3月本院ICU收治的80例危重患者为对象,均实施CRRT,分为参照组与研究组,各40例。参照组实施常规护理,研究组实施综合护理干预,对比护理效果。结果护理后,研究组患者的住院时间、尿素氮与肌酐、凝血酶原时间(PT)与部分活化凝血酶原时间(APTT)均优于参照组(P<0.05),存在统计学意义。护理后,研究组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分更优(P<0.05)。结论 ICU危重患者在CRRT治疗中采用综合护理干预,可明显缩短住院时间,改善患者的凝血功能等指标,消除负性情绪,护理效果显著,可在临床广泛使用。更多还原

【Abstract】 Objective To explore the observation and nursing effect of continuous renal replacement therapy (CRRT) in intensive care unit (ICU) critical patients.Methods To select 80 critically ill patients admitted to the ICU of our hospital from January 2018 to March 2020 as subjects,all implemented CRRT.To divide them into reference group and study group,each with 40 cases.The reference group carried out routine nursing,and the research group carried out comprehensive nursing intervention to compare nursing effects.Results After nursing,the hospitalization time,urea nitrogen and creatinine,prothrombin time (PT) and active partial thromboplastin time (APTT) of the study group were better than those of the reference group (P<0.05),which was statistically significant.For the Hamilton anxiety scale (HAMA) score and Hamilton depression scale (HAMD) score after nursing,the study group was better (P<0.05).Conclusion Comprehensive nursing intervention in CRRT treatment for critically ill patients in ICU can significantly shorten hospital stay,improve patients’ coagulation function and other indicators,eliminate negative emotions,the nursing effect is remarkable,and it can be widely used in clinical practice.更多还原