肝腎功能衰竭患者行連續性腎臟替代治療的護理

[摘要] 目的 對應用護理干預模式對接受連續性腎臟替代治療的肝腎功能衰竭患者進行治療的臨床效果進行研究分析。 方法 抽取84例接受連續性腎臟替代治療的肝腎功能衰竭患者病例，將其分為對照組和干預組，平均每組42例。對照組患者在接受治療期間進行常規護理；干預組患者在治療期間進行護理干預。 結果 干預組患者肝腎衰竭癥狀的改善效果明顯優于對照組；治療時間明顯短于對照組；治療期間患者并發癥發生率明顯低于對照組。 結論 應用護理干預模式對接受連續性腎臟替代治療的肝腎功能衰竭患者進行治療的臨床效果非常明顯。

[關鍵詞] 護理干預；連續性腎臟替代；肝腎功能衰竭

[中圖分類號] R473.5 [文獻標識碼] B [文章編號] 2095-0616（2012）21-124-02

Nursing of liver and kidney failure with continuous renal replacement therapy

XIONG Yingchun

Affiliated Hospital of Jiujiang University，Jiujiang 332000，China

[Abstract] Objective To research and analyze the clinical effect of application of nursing intervention mode to accept continuous renal replacement therapy of patients with kidney failure. Methods 84 patients with extraction of continuous renal replacement therapy in kidney failure were divided into intervention group and control group，each group of 42 cases.Control group patients had undergoing treatment during routine nursing.The intervention group had nursing intervention in the treatment during nursing intervention. Results The kidney failure symptoms improvement effect of intervention group was obviously batter than the control group， the treatment time of intervention group were shot than the control group；the normal tissue complication probability of intervention group was lower than those of the control group during treatment. Conclusion The clinical effect of nursing intervention mode to accept continuous renal replacement therapy of liver and kidney failure patients for treatment is very obvious.

[Key words] Nursing intervention；Continuous renal replacement；Liver and kidney failure

隨著醫療技術的不斷進步和發展，臨床對肝腎功能衰竭患者進行治療的方法也已經有了長足的發展。與間歇性血液透析相比較，連續性腎臟替代治療技術主要具有血流動力學狀態更加穩定，補液更加方便，且總量不會受到任何限制，代謝功能的控制效果更加理想，體內多余容量負荷的清除更加及時等特點，是目前臨床對肝腎功能衰竭患者進行搶救和治療的有效手段[1]。本次研究中選取84例接受連續性腎臟替代治療的肝腎功能衰竭患者病例，對應用護理干預模式對其進行治療的臨床效果進行研究分析，現將分析結果報道如下。

1 資料和方法

1.1 一般資料

在2010年4月～2012年4月間隨機抽取84例接受連續性腎臟替代治療的肝腎功能衰竭患者病例，將其分為對照組和干預組。……