肾动脉狭窄患者危险因素分析及护理干预

Risk factors for atherosclerotic renal artery stenosis and its nursing intervention

目的研究肾动脉狭窄患者危险因素、血清各项血脂指标及肾功能的变化,并进行护理干预。方法回顾研究动脉粥样硬化性肾动脉狭窄患者80例,以同期住院的72例肾动脉正常病例为对照,分析各项血脂成分及肾功能,并总结护理干预措施。结果与对照组相比,狭窄组高血压、冠心病、慢性肾功能不全及高脂血症的发生率明显增高(P<0.01),血尿素氮、血肌酐、总胆固醇、高密度脂蛋白存在统计学差异。护理干预后患者高血压的控制率95.15%,冠心病控制率80.77%,肾功能不全控制率74.19%,高脂血症控制率93.44%。结论高血压、冠心病、慢性肾功能不全及高脂血症是动脉粥样硬化性肾动脉狭窄的危险因素。针对性护理干预有助于控制各种危险因素。

Objective To study the risk factors for atherosclerotic renal artery stenosis（ARAS）,and detect the renal function and serum lipid indexes of its patients in order to provide nursing intervention for them.Methods Serum lipid indexes and renal function of 80 ARAS patients and 72 healthy controls were retrospectively analyzed with their nursing intervention measures summarized.Results The incidence of hypertension,coronary artery disease,chronic renal dysfunction and hyperlipidemia was significantly higher in ARAS patients than in healthy controls（P0.01）.The levels of BUN,SCr,TC and HDL were significantly higher in ARAS patients than in healthy controls（P0.01）.The control rate of hypertension,coronary artery disease,chronic renal dysfunction and hyperlipidemia was 95.15%,80.77%,74.19% and 93.44%,respectively,after nursing intervention measures were taken for the patients with such diseases.Conclusion Hypertension,coronary artery disease,chronic renal dysfunction and hyperlipidemia are the risk factors for ARAS.Proper nursing intervention measures patients with such diseases can control the different risk factors for ARAS.