连续性肾脏替代治疗急性肾衰的疗效及护理方法

作者:张博利[1] 张桂侠[2] 刊名:实用临床医药杂志 上传者:张娟

【摘要】目的探讨连续性肾脏替代治疗急性肾衰的临床疗效及护理体会。方法选取本院102例急性肾衰患者,均给予连续性肾脏替代治疗,根据随机数字法,将其分为对照组(常规护理)和观察组(护理干预),各51例,比较治疗前后2组肾功能、治疗效果及并发症发生情况。结果与对照组相比,观察组治疗后血肌酐、尿素氮水平显著降低,KT/V值显著增高(P〈0.05);与对照组相比,观察组治疗后APACHEⅡ评分及尿量恢复600 m L/d均显著降低(P〈0.05);与对照组相比,观察组低血压、心律失常等并发症发生率降低(P〈0.05)。结论连续性肾脏替代治疗急性肾衰期间,护理干预能够明显改善患者肾功能,提高治疗的临床疗效,降低并发症发生率。

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2016年第 2O卷第 20期 实 用 临 床 医 药 杂 志 Journal of Clinical Medicine in Practice ·37 · 连续性肾脏替代治疗急-眭肾衰的疗效及护理方法 张博利 ,张桂侠 (陕西省人民医院,1.肾病血透中心二病区;2.健康体检中心,陕西 西安,710068) 摘 要:目的 探讨连续性肾脏替代治疗急性肾衰的I临床疗效及护理体会。方法 选取本院102例急性肾衰患者,均给 予连续性肾脏替代治疗,根据随机数字法,将其分为对照组(常规护理)和观察组(护理干预),各 51例,比较治疗前后 2组肾 功能、治疗效果及并发症发生情况。结果 与对照组相比,观察组治疗后血肌酐、尿素氮水平显著降低,KT/V值显著增高 (P<0.05);与对照组相比,观察组治疗后 APACHE lI评分及尿量恢复600 mL/d均显著降低(P<0.05);与对照组相比,观 察组低血压、心律失常等并发症发生率降低(P<0.05)。结论 连续性肾脏替代治疗急性肾衰期间,护理干预能够明显改善 患者肾功能,提高治疗的临床疗效,降低并发症发生率。 关键词:连续性肾脏替代治疗;急性肾衰;护理干预 中图分类号:R 473.5 文献标志码:A 文章编号:1672-2353(2016)20-037-03 DOI:10.7619/jcmp.201620012 Efi cacy and nursing method of continuous renal replacement therapy for acute renal failure ZHANG Boli ,ZHANG Guixia (1.Dialysis Center of Kidney Disease;;2.Health Screening Center,Shaanxi Provincial People s Hospital,Xi an,Shaanxi,710068) ABSTRACT:Objective To study the clinical eficacy of continuous renal replacement therapy for acute renal failure and nursing experience.M ethods A total of 102 patients with acute renal fail— ure treated by continuous renal replacement therapy in our hospital were randomized into control group (routine nursing)and observation group(nursing intervention)according to random number method, with 5 1 patients per group.The renal function,treatment eficacy and the incidence of complications before and after treatment in two groups were compared.Results Compared with the control group, the levels of creatinine and urea nitrogen were signifcantly decrea

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