ECMO联合IABP、CRRT救治重症应激性心肌病患者的序贯性护理

Sequential nursing of patients with severe stress cardiomyopathy treated by ECMO combined with IABP and CRRT

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DOI 10.12208/j.cn.20250044
刊名
Contemporary Nursing
年,卷(期) 2025, 6(1)
作者
作者单位

新疆医科大学第一附属医院昌吉分院 新疆昌吉

摘要
目的 观察分析对接受体外膜氧合(ECMO)联合主动脉球囊反搏(IABP)、连续性肾脏替代(CRRT)治疗的重症应激性心肌病患者实施序贯性护理的临床效果和应用价值。方法 采用回顾性研究方法,选择院内就诊的60例接受ECMO联合IABP、CRRT治疗的重症应激性心肌病患者(样本纳入例数:60例;样本纳入时间:2022年5月至2023年5月),以随机摸球为基础分组方式,分为对照、实验两个小组,观察例数高度一致。分别实施常规护理,序贯性护理。收集分析护理效果。结果 与对照组(常规护理)相比,实验组(序贯性护理)的生活质量评分、左心室射血分数、氧合指数、每分钟输出量更高,脑钠肽、肌酐、左心室舒张末期内径、左心室收缩末期内径、负性情绪评分更低,(P<0.05)。结论 序贯性护理可以有效促进重症应激性心肌病患者ECMO联合IABP、CRRT治疗疗效提升,改善功能,促进恢复,提高生活质量,缓解负性情绪,有较高应用价值。
Abstract
Objective To observe and analyze the clinical effect and application value of sequential care for patients with severe stress cardiomyopathy treated with extracorporeal membrane oxygenation (ECMO) combined with aortic balloon counterpulsation (IABP) and continuous renal replacement (CRRT). Methods In a retrospective study method, 60 patients with IABP and CRRT (sample number: 60; sample inclusion time: May 2022 to May 2023) were grouped into two groups: control and experiment, and the observation number was highly consistent. Implement routine nursing, sequential nursing respectively. Collect and analyze the nursing effect. Results Compared with the control group (usual care), the quality of life score, left ventricular ejection fraction, oxygenation index, output per minute, brain natridium peptide, creatinine, left ventricular end diastolic diameter, left ventricular end systolic diameter, negative mood score were lower in the experimental group (sequential care), (P <0.05). Conclusion Sequential nursing can effectively promote the efficacy of ECMO combined with IABP and CRRT, improve function, promote recovery, improve quality of life, relieve negative mood, and has high application value.
关键词
ECMO;IABP;CRRT;治疗;重症应激性心肌病;序贯性护理
KeyWord
ECMO; IABP; CRRT; Treatment; Severe stress cardiomyopathy; Sequential care
基金项目
页码 153-156
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张晓琴*,徐艳香. ECMO联合IABP、CRRT救治重症应激性心肌病患者的序贯性护理 [J]. 当代护理. 2025; 6; (1). 153 - 156.

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