重視和總結我國臨床診治甲型H1N1流感的經驗
【摘要】 目的 探討甲型H1N1流感重癥與危重癥的護理干預。 方法 回顧分析2009年10月-2010年2月收治的20例甲型H1N1流感重癥與危重癥患者的治療方案及其護理干預措施。 結果 16例治愈出院， 4例死亡。其中7例需要呼吸機輔助通氣。 結論 甲型H1N1流感重癥與危重癥需要綜合治療，同時，有效的護理干預也是提高甲型H1N1流感危重癥患者治愈率和降低死亡率的關鍵。【Abstract】 Objective To evaluate the nursing intervention for patients with severe influenza A (H1N1). Methods The clinical data of 20 patients with severe influenza A (H1N1) from October 2009 to February 2010 were retrospectively analyzed. Results In 20 patients, 16 were cured and four died. A total of seven patients needed ventilation assisted with ventilators. ConclusionsThe patients with severe influenza A (H1N1) needs combined modality therapy. At the same time, active and effective nursing intervention is the key point of increasing the recovery rate and decreasing the mortality rate.
糖皮質激素在甲型H1N1流感中的應用探討
目的:探討甲型H1N1流感患者安全轉運中的消毒措施和防護流程。方法:對我國首例甲型H1N1流感患者轉運的各個環節,包括工作人員的個人防護、車輛要求、物品消毒規范和操作流程進行分析。結果:應對首例甲型H1N1流感突發疫情的能力得到提高,轉運順利,安全將該例甲型H1N1流感患者接回醫院,在轉運過程中無交叉感染情況發生。結論:嚴格的消毒措施、規范的著裝,以及有效的監督等措施,是我們面對突發疫情應急工作任務時,防止防止交叉感染的關鍵。
【摘要】 目的 了解甲型H1N1流感發熱病區門診就診高峰期患者焦慮狀況及相關因素，采取針對性護理措施減輕患者焦慮情緒。 方法 2009年11月上旬-12月上旬采用一般資料調查和Zung′s焦慮自評量表（SAS）對219例患者進行調查分析。 結果 219例患者SAS平均分為（33.70±8.60）分，其中17例SAS總分≥50分，存在焦慮情緒，發生率7.76%。多元回歸分析結果顯示，在年齡、性別、城鄉差異、發熱程度等因素中，與焦慮癥狀有關的主要因素為年齡和發熱程度。 結論 甲型H1N1流感發熱病區門診就診高峰期患者焦慮情緒明顯高于常模，應引起重視，在門診工作中加強心理護理，減輕和盡力消除患者的焦慮情緒，以免對病情產生不利影響，不利于控制流感疫情。【Abstract】 Objective To investigate the anxiety status and related factors of H1N1 patients at influenza peak of fever clinics,and to take specific measures to reduce anxiety in patients. Methods The general information and Zung′s self rating anxiety scale (SAS) were taken to analyze 219 patients from early November to early December 2009. Results The average SAS score of the 219 patients was 33.70±8.60, in which there were 17 patients (7.76%) with total scores ≥ 50 and anxiety. Multiple regression analysis showed that the age and temperature were related factors among age, gender, urban-rural differences, and fever. Conclusion The survey suggests that the pafients at the H1N1 influenza peak of fever clinics are significantly more anxious than normal anxiety. Out-patient work should strengthen psychological care to reduce and try to eliminate the anxiety of patients, in order to avoid adverse impact which is not conducive to control influenza outbreaks.
【摘要】 目的 總結甲型H1N1流感病毒性肺炎患者的胸部X線和CT表現特征。 方法 回顧分析2009年3月-11月3例經臨床表現及病原學檢查證實的甲型H1N1流感病毒性肺炎的胸部X線、CT表現。 結果 肺部病灶多呈散在小片狀高密度影，邊緣模糊，鄰近胸膜；病變最常累及肺基底段；病灶多有少量胸腔積液；病灶有擴散迅速，合理用藥后消失較快的特點；病灶吸收落后于臨床表現。 結論 甲型H1N1流感病毒性肺炎的X線、CT表現具有一定的特點，總結并掌握這些特點，有利于早期診斷。其確診有賴于實驗室檢查和流行病學調查。【Abstract】Objective To explore the chest X-ray, CT manifestations of pneumonia of patients with influenza virus A/H1N1 infection. Methods The pulmonary X-ray and CT findings of 3 patients who were confirmed by laboratory results and epidemiology with infection of influenza virus A/H1N1 were retrospectively analyzed between March 2009 to November 2009. Results Both sides of the lung field showed many small cloudy infiltration in chest X-ray and CT film. The lesions of the lung were mostly near the pleural. They were often found in basal segment. Pleural effusion may be observed. Radiology dynamic changes showed the diffusion of the lesions of the lung was quick in a short time, and scattered and disappeared quickly after rational use of drugs. The lesions vanished later than clinical disappearance. The lesions of the lung may appear fibrosis at the period of the end. Conclusion Some radiographic characteristics exist in the pneumonia of patients with influenza virus A/H1N1 infection. It will be helpful for early diagnosis when getting familiar with its X-ray and CT manifestations, but the final diagnosis depends on the laboratory results and epidemiological history.
目的 探討甲型H1N1流感不同臨床類型及不同階段C反應蛋白（CRP）動態變化特征。 方法 回顧性分析2009年5月10日－2010年1月18日實驗室確診的271例甲型H1N1流感住院患者不同臨床類型、疾病不同階段CRP動態變化情況。 結果 甲型H1N1流感患者感染初期CRP較正常升高，且升高程度隨著病情的加重而更明顯；CRP在治療第3天即明顯下降或接近正常，其動態改變在不同疾病嚴重程度組間無明顯差異；有臟器功能損害者CRP較無臟器功能損害者明顯升高；多個臟器損害CRP較單一臟器損害組明顯升高。 結論 甲型H1N1流感CRP升高程度可間接反映其疾病嚴重程度和臟器功能損害多少。