摘要
目的探讨静脉滴注呋塞米疗法联合针对性护理干预对肝硬化并发自发性细菌性腹膜炎的临床效果。方法将本科收治的肝硬化并发自发性细菌性腹膜炎患者100例随机分为2组,对照组患者给予静脉滴注呋塞米治疗与常规护理,实验组患者给予静脉滴注呋塞米疗法联合针对性护理,比较2组患者的临床与实验室指标、症状体征持续时间、护理满意度等。结果实验组患者治疗后24 h尿量、腹围、腹水白细胞、内毒素血症水平均显著性低于对照组,差异具有统计学意义(P<0.01);实验组患者护理后发热天数明显低于对照组,差异具有统计学意义(P<0.05);实验组患者腹痛、腹胀、压痛与反跳痛天数显著性低于对照组,差异具有统计学意义(P<0.01);实验组患者对护理人员护理工作非常满意率明显高于对照组,不满意率显著性低于对照组,差异具有统计学意义(P<0.05)。结论静脉滴注呋塞米疗法联合针对性护理干预对肝硬化并发自发性细菌性腹膜炎的临床效果显著。
Objective To discuss the clinical efficacy of intravenous furosemide therapy combined with targeted nursing intervention for liver cirrhosis patients complicated with spontaneous bacterial peritonitis. Methods A total of 100 liver cirrhosis patients with spontaneous bacterial peritonitis were randomly divided into two groups, the control group were treated with intravenous furosemide therapy and usual nursing, patients in the experimental group were given intravenous furosemide therapy combined with targeted nursing, and clinical and laboratory parameters, dura- tion of symptoms and signs, nursing satisfaction were compared in two groups. Results Postopera- tive 24 h urine, abdominal circumference, ascites WBC, endotoxemia in the experimental group were significantly lower than that in the control group, there was significant difference （P 〈 0.01）. The fever days after nursing inn the experimental group was significantly lower than that in the con- trol group, there was significant difference （P 〈 0.05）. Abdominal pain, bloating, tenderness and rebound days in the experimental group were significantly lower than that in the control group, there was significant difference （P〈 0.01 ）. The very satisfied rate for nursing in the experimental group was significantly higher and unsatisfactory rate of patients was significantly lower than that in the control group, there were significant differences （P 〈 0. 01 ）. Conclusion Intravenous furosemide therapy combined with targeted nursing intervention in liver cirrhosis patients complicat- ed with spontaneous bacterial peritonitis has significant clinical effect.
出处
《实用临床医药杂志》
CAS
2015年第16期33-36,共4页
Journal of Clinical Medicine in Practice
关键词
肝硬化
自发性细菌性腹膜炎
呋塞米
针对性护理
liver cirrhosis
spontaneous bacterial peritonitis
furosemide
targeted nurs- ing
