急性重症病毒性心肌炎合并急性肾衰竭患者实施预见性护理措施的效果(1)
【摘要】 目的：分析對急性重症病毒性心肌炎(ASVMC)合并急性肾衰竭(ARF)患者进行预见性护理的临床价值。方法：选取2015年1月-2018年10月笔者所在科室收治的ASVMC合并ARF患者60例，随机分为对照组(常规护理，30例)与观察组(预见性护理，30例)，比较两组心、肾相关指标[肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、肌钙蛋白I(cTnI)、平均动脉压(MAP)、血尿素氮(BUN)、肌酐(Cr)]、炎性因子水平[肿瘤坏死因子-α(TFN-α)、白细胞介素-6(IL-6)、C反应蛋白(CRP)]、并发症(恶性心律失常、急性左心衰、心源性休克、死亡)发生率及护理满意度。结果：观察组护理7 d后CK、CK-MB、cTnI、MAP、BUN、Cr水平均优于对照组(P<0.05);观察组护理7 d后TFN-α、IL-6、CRP水平均低于对照组(P<0.05);观察组恶性心律失常、急性左心衰、心源性休克、死亡的发生率均低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论：预见性护理可改善ASVMC合并ARF患者心、肾功能，减轻机体炎性反应，降低并发症的发生率及提高患者护理满意度。
【关键词】 病毒性心肌炎 肾衰竭 预见性护理
doi：10.14033/j.cnki.cfmr.2019.28.038 文献标识码 B 文章编号 1674-6805(2019)28-00-03
Effect of Predictive Nursing Measures on Patients with Acute Severe Viral Myocarditis and Acute Renal Failure/JIANG Chunxia， ZHANG Yan. //Chinese and Foreign Medical Research， 2019， 17(28)： -94
[Abstract] Objective： To analyze the clinical value of predictive nursing for patients with acute severe viral myocarditis (ASVMC) and acute renal failure (ARF). Method： A total of 60 patients with ASVMC and ARF admitted to our department from January 2015 to October 2018 were randomly divided into the control group (routine nursing， 30 cases) and the observation group (predictive nursing， 30 cases). Cardiac and renal relevant indicators [creatine kinase (CK)， creatine kinase isoenzyme (CK-MB)， cardiac troponin I (cTnI)， mean arterial pressure (MAP)， blood urea nitrogen (BUN)， creatinine (Cr)]， inflammatory factor level [tumor necrosis factor-α(TFN-α)， interleukin-6 (IL-6)， C-reactive protein (CRP)]， complications rate [malignant arrhythmia， acute left heart failure， cardiogenic shock， mortality rate] and nursing satisfaction were compared between the two groups. Result： After 7 days of nursing， the levels of CK， CK-MB， cTnI， MAP， BUN and Cr in the observation group were better than those of the control group (P<0.05). After 7 days of nursing， the levels of TFN-α， IL-6 and CRP in the observation group were lower than those of the control group (P<0.05). The incidence of malignant arrhythmia， acute left heart failure， cardiogenic shock and mortality in the observation group were lower than those of the control group (P<0.05). The nursing satisfaction in the observation group was higher than that of the control group (P<0.05). Conclusion： Predictive nursing can improve the heart and kidney function of patients with ASVMC and ARF， alleviate the inflammatory reaction， reduce the occurrence of complications and improve nursing satisfaction., 百拇医药(江春霞 张燕)
【关键词】 病毒性心肌炎 肾衰竭 预见性护理
doi：10.14033/j.cnki.cfmr.2019.28.038 文献标识码 B 文章编号 1674-6805(2019)28-00-03
Effect of Predictive Nursing Measures on Patients with Acute Severe Viral Myocarditis and Acute Renal Failure/JIANG Chunxia， ZHANG Yan. //Chinese and Foreign Medical Research， 2019， 17(28)： -94
[Abstract] Objective： To analyze the clinical value of predictive nursing for patients with acute severe viral myocarditis (ASVMC) and acute renal failure (ARF). Method： A total of 60 patients with ASVMC and ARF admitted to our department from January 2015 to October 2018 were randomly divided into the control group (routine nursing， 30 cases) and the observation group (predictive nursing， 30 cases). Cardiac and renal relevant indicators [creatine kinase (CK)， creatine kinase isoenzyme (CK-MB)， cardiac troponin I (cTnI)， mean arterial pressure (MAP)， blood urea nitrogen (BUN)， creatinine (Cr)]， inflammatory factor level [tumor necrosis factor-α(TFN-α)， interleukin-6 (IL-6)， C-reactive protein (CRP)]， complications rate [malignant arrhythmia， acute left heart failure， cardiogenic shock， mortality rate] and nursing satisfaction were compared between the two groups. Result： After 7 days of nursing， the levels of CK， CK-MB， cTnI， MAP， BUN and Cr in the observation group were better than those of the control group (P<0.05). After 7 days of nursing， the levels of TFN-α， IL-6 and CRP in the observation group were lower than those of the control group (P<0.05). The incidence of malignant arrhythmia， acute left heart failure， cardiogenic shock and mortality in the observation group were lower than those of the control group (P<0.05). The nursing satisfaction in the observation group was higher than that of the control group (P<0.05). Conclusion： Predictive nursing can improve the heart and kidney function of patients with ASVMC and ARF， alleviate the inflammatory reaction， reduce the occurrence of complications and improve nursing satisfaction., 百拇医药(江春霞 张燕)
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