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关于研讨冠脉介入水化治疗护理对肾功能影响网站位置: >> 护理论文 >> 儿科护理论文 >> 浏览文章
研讨冠脉介入水化治疗护理对肾功能影响

论文导读:e A set of random divided into A1 and A2 group, group B group B1 and B2. A1 and B1 group perioperative accept hydration routine nursing care, and A2 and B2 received perioperative hydration holistic nursing. Respectively compared to the group of A1 and A2 and B1 and B2 group renal function changes be

冠脉介入水化治疗护理对肾功能影响【摘 要】 目的 探讨冠脉介入造影剂对不同肾功能患者的影响,并分析围术期水化疗法整体护理对造影剂肾病(CIN)的治疗效果。策略 将838例接受冠状介入患者作为观察对象,根据术前肾功能将患者分为539例肾功能正常的A组及299例肾功能不建全的B组,对比两组术后24小时内CIN的发生率。同时随机将A组分为A1组与A2组,将B组B1组与B2组。A1组及B1组围术期接受水化常规护理,而A2及B2组围术期接受水化整体护理。分别对比A1组与A2组及B1组与B2组治疗前后肾功能变化情况。结果 B组CIN发生率18.00%,明显高于A组的4.60%(P < 0.05)。同时A1组与A2组间及B1组与B2组间术前血清肌酐(Cr)及尿素氮(BUN)比较未见统计学差异,而术后24h后,A2组Cr及BUN升高明显低于A1组,B2组Cr及BUN升高同样明显低于B1组(P<0.05)。结论 肾功能不建全者接受冠脉介入造影后更易发生CIN,而整体化水化疗法护理可有效的改善患者术后肾脏功能。
  【关键词】 造影剂;肾功能;肾病;并发症
  【】 B
  Analysis of effect of coronary intervention hydration treatment nursing of renal function
  Zhou Xin Wang Hao Cao Yuting
  (Central hospital of Dalian,Liaoning province,China,116033)
  【Abstract】 Objective On patients with coronary intervention contrast agents for different renal function, and analysis of perioperative hydration therapy of overall nursing in the treatment of contrast nephropathy (CIN).Methods To 838 patients who underwent coronary intervention in patients as research object, according to the preoperative renal patients divided into 539 cases of normal renal function in group A and group B, 299 cases of renal insufficiency, compared two groups the incidence of CIN in 24 hours after surgery. At the same time A set of random divided into A1 and A2 group, group B group B1 and B2. A1 and B1 group perioperative accept hydration routine nursing care, and A2 and B2 received perioperative hydration holistic nursing. Respectively compared to the group of A1 and A2 and B1 and B2 group renal function changes before and after the treatment.Results Group B the incidence of CIN was 18.00%, significantly higher than the 4.60% of the group A (P<0.05). Between A1 and A2 group and between B1 and B2 group preoperative serum creatinine (Cr) and urea nitrogen (BUN) was no statistical difference, and after 24 h after surgery, A2 set of Cr and elevated BUN was lower than that in group A1, B2 Cr and BUN increased significantly lower than the same B1 group (P < 0.05).Conclusion Renal insufficiency who accept are more likely to happen after coronary intervention imaging CIN, integrative hydration therapy and nursing can effectively improve the patients postoperative renal function.
  【Keywords】 contrast media;renal function;nephropathy;complications
  CIN是冠脉介入诊断及治疗的主要并发症,其发生率冠脉介入技术的广泛应用而显著的升高[1]。虽然目前非离子型造影剂的应用已将显著的降低了冠脉介入技术的多种不良反应的发生,但是其降低CIN的作用并不明显。目前有研究显示,通过改善护理方案可降低所中手术的术后并发症发生率[2,3]。故我科近年来将整体护理方案应用于冠脉介入的围术期,发现其可有效的改善患者冠脉介入术后的肾功能,现总结如下: 全文地址:http://www.7ctime.com/ekhllw/lw50304.html
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