文章摘要

全基因组测序技术在严重脓毒症中的临床价值及集束化护理干预

作者: 1,2,3黎琼, 1蒋小剑
1 湖南中医药大学护理学院,长沙 410208
2 永州职业技术学院护理学系,湖南 永州 425100
3 湖南中医药大学附属第二医院ICU,长沙 410005
通讯: 蒋小剑 Email: yzjxj726@163.com
DOI: 10.3978/j.issn.2095-6959.2019.04.024

摘要

目的:探讨全基因组测序技术在严重脓毒症中的应用价值,评价集束化护理干预效果。方法:选择2017年1月至2018年9月湖南中医药大学附属第二医院ICU收治的100例严重脓毒症患者为研究对象,随机分为干预组与对照组,每组各50例。监测并比较两组白细胞(w hite blood cel l, WBC)计数、降钙素原(procalcitonin,PCT)、C-反应蛋白(C-reactive protein,CRP)等炎性反应指标及动脉血乳酸(lactic acid,LAC)等组织灌注指标。观察并比较两组序贯器官衰竭(sequential organ failure assessment,SOFA)评分、急性生理学与慢性健康状况评分系统II(acute physiology and chronic health evaluation II,APACHEII)评分及ICU住院时间。结果:入住ICU第1天,两组WBC, PCT,CRP及LAC等指标比较,差异无统计学意义(P>0.05)。入住ICU第3,7天,干预组WBC, PCT,CRP及LAC等指标均优于对照组,差异有统计学意义(均P<0.05)。入住ICU第1天,两组APACHEII评分、SOFA评分比较,差异无统计学意义(P>0.05)。入住ICU第3天,干预组APACHEII评分、SOFA评分均优于对照组,差异有统计学意义(均P<0.05)。干预组ICU住院时间(9.2±1.6) d,明显短于对照组(14.3±1.8) d,差异有统计学意义(P<0.05)。结论:全基因组测序技术能够准确识别严重脓毒症,集束化护理干预能促进患者早日康复。
关键词: 全基因组测序技术;严重脓毒症;集束化护理

Clinical value of whole genome sequencing in severe sepsis and cluster nursing intervention

Authors: 1,2,3LI Qiong, 1JIANG Xiaojian
1 College of Nursing, Hunan University of Chinese Medicine, Changsha 410208, China
2 Department of Nursing, Yongzhou Vocational and Technical College, Yongzhou Hunan 425100, China
3 ICU, Second Affiliated Hospital, Hunan University of Chinese Medicine, Changsha 410005, China

CorrespondingAuthor: JIANG Xiaojian Email: yzjxj726@163.com

DOI: 10.3978/j.issn.2095-6959.2019.04.024

Abstract

Objective: To explore the application value of whole genome sequencing technology in severe sepsis, and to evaluate the effect of cluster nursing intervention. Methods: One hundred patients with severe sepsis admitted in Second Affiliated Hospital, Hunan University of Traditional Chinese Medicine from January 2017 to September 2018 were randomly divided into an intervention group (n=50) and a control group (n=50). White blood cell count (WBC), procalcitonin (PCT), C-reactive protein (CRP) and blood lactic acid (LAC) were compared between the two groups. The sequential organ failure assessment (SOFA) scores and acute physiology and chronic health evaluation II (APACHE II) scores of the two groups were compared. The hospitalization time of ICU was compared between the two groups. Results: On the first day of ICU, there was no significant difference in WBC, PCT, CRP and LAC between the two groups (P>0.05). The WBC, PCT, CRP and LAC of the intervention group were better than those of the control group on the 3rd and 7th day after admission to ICU (all P<0.05). On the first day of ICU, there was no significant difference in the APACHE II score and SOFA score between the two groups (P>0.05). On the 3rd day of ICU, APACHE II score and SOFA score of the intervention group were better than those of the control group (P<0.05), the difference was statistically significant. The hospitalization time of ICU in intervention group (9.2±1.6) d was significantly shorter than that in control group (14.3±1.8) d, the difference was statistically significant (P<0.05). Conclusion: The whole genome sequencing technology can accurately diagnose severe sepsis. The cluster nursing intervention can effectively improve the efficacy of sepsis, promote disease rehabilitation.
Keywords: whole genome sequencing technology; severe sepsis; cluster nursing

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