全身炎症反应综合征患者行连续性肾脏替代治疗的护理

摘要

目的：探讨全身炎症反应综合征（systemic inflammatory response syndrome ，SIRS）患者行连续性肾脏替代治疗（continuous renal replacement therapy ，CRRT）的护理方法。方法2011年1－12月，第三军医大学新桥医院肾内科血液净化中心治疗了70例 SIRS患者，均采用 CRRT进行干预，并检测患者治疗前后肿瘤坏死因子-α（tumor necrosis factor-alpha， TNF-α）、C-反应蛋白（C-reactive protein，CRP）、白介素-6（interleukin-6，IL-6）的改变。结果治疗前后患者 TNF-α、CRP、IL-6改变的差异均有统计学意义（均P＜0．05）。结论 CRRT技术早期干预能清除炎性介质、调控炎症反应、阻断 SIRS发展，提高了危重患者的存活率。制定确切的护理方案，在治疗过程中采取严密的监护和合理的护理是取得满意临床疗效的重要保障。%Objective To explore the nursing methods of continuous renal replacement therapy (CRRT)in systemic inflammatory response syndrome (SIRS).Methods 70 patients with SIRS were selected and had CRRT intervention and tested about TNF-α,CRP,IL-6 changes before and after treatment.Results There was statistic significance of TNF-a,CRP,IL-6 changes before and after treatment (all P<0.05).Conclusion CRRT technology early intervention have effect on removal of inflammatory mediators,regulation of inflammation,blocking the SIRS development and improving the survival rate of critically ill patients.The exact formulation of nursing plan in the treatment process to take strict care and reasonable care is the important part to achieve a satisfactory clinical efficacy.