连续性静-静脉血液滤过应用于肝肾综合征的护理

Nursing care of continuous veno-venous hemofiltration for patients with hepatorenal syndrome

目的研究连续性静-静脉血液滤过(continuous veno-venous hemofiltration,CVVH)应用于肝肾综合征(hepatorenal syndrome,HRS)的疗效和护理措施。方法 108例HRS患者行CVVH治疗,观察治疗前后患者水电解质、酸碱平衡、肾功能的变化,并探讨治疗中的护理经验。结果 CVVH治疗后,血K+、CRE、BUN、UA、CO2-CP等指标明显改善,严重电解质紊乱、代谢性酸中毒等并发症得以纠正。结论 CVVH能有效改善HRS患者的肾功能,纠正电解质紊乱及酸中毒,稳定内环境。在CVVH治疗过程中,采用科学的护理方法,能有效提高患者的生存率。

Objective To investigate the therapeutic efficacy and nursing care of continuous veno-venous hemofihration （CVVH） for patients with hepatorenal syndrome （HRS）. Methods Totally 108 patients with HRS were given CVVH treatment. The changes of serum electrolytes, acid-base balance and renal function before and after treatment were observed, and nursing care for patients receiving CVVH treatment was discussed. Results The levels of serum kalium, CRE, BUN, UA and CO2-CP increased significantly, and complications such as severe electrolyte disturbance and metabolic acidosis were corrected after CVVH, treatment. Conclusion CVVH can improve renal function and correct electrolyte disturbance and metabolic acidosis effectively in HRS patients, maintaining a constant internal environment. Scientific nursing care for HRS patients receiving CVVH treatment can effectively improve the survival rate.