连续性血液净化在多器官功能障碍综合征中的应用及护理

目的探讨连续性血液净化（CBP）治疗多器官功能障碍综合征（MODS）的效果，总结护理措施。方法选取2011年10月至2012年10月期间我院MODS患者58例，在原发病治疗的基础上同时给予CBP治疗，同时采取合理有效的护理措施。结果58例MODS患者中，经CBP治疗，治愈34例，好转10例，死亡14例，其中4例因经济问题出院而死亡，10例合并其他并发症死亡。CBP治疗后与治疗前在肌酐、尿素氮、心率、PaO2及PaO／FiO2方面比较，差异有统计学意义U）〈0．05），在平均动脉压、PH、PaCO2和HCO3方面差异无统计学意义（P〉0．05）。结论CBP能有效缓解MODS患者的症状，合理有效的护理措施有助于提高MODS患者的生存率。

Application and nursing of continuous blood purification in multiple organ dysfunction syndrome

Objective To investigate the effects of continuous blood purification （CBP） in the treatment of multiple organ dysfunction syndrome （MODS） and summarize the nursing measures. Methods 58 cases with MODS admitted in our hospital from October 2011 to October 2012 were selected, on the basis of the primary disease treatment while providing CBP treatment, reasonable and effective nursing measures were given. Results In the 58 patients with MODS, through the CBP treatment, 34 cases were cured, lO cases were improved, 14 patients died, including 4 cases of death due to economic problems and discharged, 10 cases with other death causes of complications. Compared to conditions before treatment, the CBP therapy in creatinine, urea nitrogen, heart rate, PaO2 and PaO/FiOz had statistical significant differences （P〈0.05）, while the mean arterial blood pressure, pH, PaCO2 and HCO3 aspect had no statistical significant difference （P〉0.05）. Conclusion The CBP can effectively alleviate the symptoms of patients with MODS, reasonable and effective nursing can improve the survival rate of patients with MODS.