目的 探讨强化护理干预在危重甲型H1N1流感患者中的临床运用价值.方法 将内蒙古医科大学附属医院感染科收治的68例危重甲型H1N1流感患者分为观察组和对照组,每组各34例.对照组给予常规护理和治疗措施,观察组在对照组基础上给予强化护理干预.观察两组患者临床疗效和预后情况.结果 观察组经治疗后体温恢复正常率为94.1%,临床症状缓解率为85.3%,咽拭子转阴率为88.2%;对照组体温恢复正常率为73.5%,临床症状缓解率为67.6%,咽拭子转阴率为55.9%;两组临床症状改善情况差异有统计学意义(P ＜ 0.05).观察组治疗总有效率为91.2%;对照组治疗总有效率为61.8%,两组间临床疗效差异有统计学意义(P ＜ 0.05).结论强化护理干预能显著提高临床疗效与改善患者预后,在治疗危重甲型H1N1流感中具有重要的临床应用价值.%Objective To explore the clinical value of intensive care intervention for critically ill patients with H1N1 influenza A. Methods 68 cases of critically ill patients with H1N1 influenza A in the affiliated hospital of Inner Mongolia medical university were divided into observation group and control group, each group had 34 cases. The control group was given the conventional care and treatment, the observation group was given the intensive care intervention on the basis of the control group. The clinical efficacy and prognosis of patients in the two groups were observed. Results After treatment, in the observation group the proportion of patients returning to normal body temperature was 94.1%, the clinical remission ratio was 85.3%, the throat swab negative rate was 88.2%; in the control group the proportion of patients returning to normal body temperature was 73.5%, the clinical remission ratio was 67.6%, the throat swab negative rate was 55.9%, there were significant differences in the two groups (P< 0.05). The clinical total effective rate of the observation group was 91.2%, the clinical total effective rate of the control group was 61.8%, there was significant difference in the two groups (P < 0.05). Conclusion The strengthen nursing intervention can significantly improve the clinical efficacy and prognosis, it has important clinical value in the treatment of critically ill patients with H1N1 influenza A.
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