【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(T3)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T0时差别无意义(P>0.05),T1差别出现显著意义(P<0.05),T2和T3差别则有极显著意义(P<0.01),T4时II组仍低于I组,但已无显著意义(P>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著意义(P<0.01);终点百分满意度I组分别为0.85±0.08、0.74±0.16和0.89±0.12;II组则分别为0.95±0.03、0.92±0.06和0.98±0.02,组间对比差别均有极显著意义(P<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,可显著提高高危妊娠病人的护理质量。更多还原

【Abstract】 Objective:To study the effect and importance of grading of SIRS in nursing the high danger gravidity patients.Methods:There were 300 cases in 5 hospitals sized up to our research and they were nursed and warded and checked according to same standard. They were divided into two groups using random-double-blind method. Group A was graded by SPACHEII and group B was graded by SIRS. Their nursing and curing course were all evaluated and graded by TISS by appointed man at times of 4 (T0) and 24 (T1) and 48 (T2) and 96 (T3) hours and 7 days after admission. Radios of the occurrence of complications and satisfaction rate of patients and relations and their doctors were analyzed and contrasted.Results:According to the grading of TISS there was no notable difference at T 0(P>0.05) while there was at T 1 (P<0.05) and extreme notable difference at T 2 and T 3 (P<0.01).Although group A was lower than group B but there was no notable difference at T 4 (P>0.05).The occurred complications in group A were : ARF 5 cases, ALI/ARDS 3 cases, cerebral hemorrhage 2 cases, MODS 5 cases and death 3 cases while group B were : ARF 1 cases, ALI/RDS 0 cases, cerebral hemorrhage 1 cases, MODS1 cases and death 0 cases. The satisfaction rates in group B were: 0.95±0.03、0.92±0.06 and 0.98±0.02 while in group A were 0.85±0.08、0.74±0.16 and0.89±0.12. There extreme notable difference between groups(P<0.01)while contrast between hospitals and were grades there were no notable difference.Conclusion:Grading of SIRS take the important nursing index of life as data so has the specialty of simple and practicable and easy to be master and can notably improve the nursing quality of the severe illed patients in obstetrical department.更多还原