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目的探讨集束化护理对严重脓毒症患者早期脱机的影响。方法选取2016年1月-2017年1月在天津市第三中心医院就诊的55例严重脓毒症患者,随机分为观察组(28例)和对照组(27例),观察组给予集束化护理,对照组给予常规护理。比较两组28d内机械通气时间、脱机24h内再次上机率、入住ICU28d内死亡率、入住ICU时间、入住ICU后6h和24h乳酸清除率。结果观察组患者28d内机械通气时间、脱机24h内再次上机率、入住ICU28d内死亡率和入住ICU时间均明显少于对照组,差异有统计学意义(P<0.05)。观察组入住ICU后6h乳酸清除率和24h乳酸清除率均明显高于对照组,差异有统计学意义(P<0.05)。结论集束化护理有助于严重脓毒症患者早期脱机,加快机体恢复,值得临床推广应用。
Objective To investigate the effect of cluster nursing on early off-line in patients with severe sepsis. Methods 55 patients with severe sepsis who visited the Third Central Hospital of Tianjin from January 2016 to January 2017 were randomly divided into observation group (n = 28) and control group (n = 27) Nursing, control group given routine care. The mechanical ventilation time was compared within 28 days in both groups, the probability of reoperation within 24 hours of re-entry, the rate of ICU within 28 days of admission, the time of ICU stay, and the lactic acid clearance rate of 6 hours and 24 hours after ICU admission. Results The observation group had mechanical ventilatory time within 28 days and reoccurrence rate within 24 hours after off-line. The intra-ICU 28-day mortality and ICU stay in observation group were significantly less than those in control group (P <0.05). The lactic acid clearance rate and lactic acid clearance rate at 6 hours after ICU admission in observation group were significantly higher than those in control group (P <0.05). Conclusion Cluster nursing can help patients with severe sepsis early off-line, speed up the recovery of the body, worthy of clinical application.