魏名敬

【关键词】重症监护室;降钙素原;综合护理;机械通气相关性肺炎

【中图分类号】R473.5   【文献标识码】B 【文章编号】1002-8714（2020）05-0018-01

【abstract】 objective： to study the value of comprehensive care in intensive care unit. Methods： a total of 54 patients were assigned to the icu from April 2018 to November 2019. Group A received comprehensive nursing and group B received routine nursing. The indexes of procalcitonin were compared. Results： the incidence of mechanical ventilation associated pneumonia in group A was 3.7%， lower than that in group B （22.22%）， P<0.05.C-reactive protein， white blood cell count and procalcitonin levels in group A were better than those in group B （P < 0.05）. The hospital stay in group A was shorter than that in group B （P < 0.05）.Conclusion： the comprehensive nursing care in intensive care unit can achieve remarkable results.

【key words】 intensive care unit; Procalcitonin; Comprehensive care; Mechanical ventilation is associated with pneumonia

在机械通气治疗的48h内，若患者出现了肺部感染的症状，即可判定为机械通气相关性肺炎[1]，本病乃重症监护室病患比较常见的一种并发症，若干预不及时，将会引起严重后果，危及生命健康。本文旨在分析综合护理用于重症监护室中的价值，总结如下。

1 资料与方法

1.1 一般资料

2018年4月-2019年11月本院重症监护室接诊的病患54例，用数字抽签法划分成A、B两组（n=27）。A组女11例，男16例;年龄为35-64岁，平均（47.12±3.08）岁。B组女10例，男17例;年龄为34-64岁，平均（47.83±3.49）岁。患者临床信息完整，家人签署知情同意书。2组性别等资料对比，P>0.05，具有可比性。

1.2 方法

B组行常规护理：基础护理、体征监测和用药指导等，A组于B组基础之上加用综合护理：（1）若患者意识清醒，需对其心态作出评估，了解情绪变化。利用通俗易懂的语言，向患者讲述疾病和治疗的相关知识，同时为患者的疑慮之处作出细致的解答。积极与患者沟通，用带有激励性色彩的语言关心患者，对于患者的病情，要予以深切的同情。指导患者采取交谈或者听音乐等方式减轻心理压力。若患者抑郁程度比较严重，需对其施以镇定剂治疗。将医院中近期同种疾病治疗成功的案例告诉患者，使患者有足够的勇气面对疾病。（2）对气囊压力进行严格的控制，强化囊上吸引力度，按时检查气囊压力，确保最小漏气与充气。根据患者痰液的稠度，合理调整湿化液的量。对……