小儿肾病综合征复发因素分析及护理对策

A Study on Influencing Factors and Nursing care of Relapse of Children with Nephrotic Syndrome

目的:分析影响肾病综合征患儿复发的因素并探讨相应护理对策。方法:对2011年6月～2012年6月住院治疗的77例肾病综合征复发患儿的复发诱因进行了分析。结果:感染、激素疗程不合理、饮食不当及过度劳累是导致肾病综合征复发的最常见原因,并根据复发因素制定合理的护理对策。结论:肾病综合征复发的诱因非常复杂,积极控制感染,保证合理的激素治疗,合理饮食,适当的休息等,是防止其复发的重要手段。应重视患儿复发时的临床指标,取得患儿及家长配合,及时干预肾病综合征复发的危险因素,合理调整治疗方案和护理措施,以减少复发。

Objective：This study was aimed at studying the influencing factors and probing into the method and effect of nursing care of frequent relapses of children with nephrotic syndrome. Methods： 77 children patients who admitted to our department between June 2011 and June 2012, diagnosed with nephrotic syndrome were retrospectively analyzed clinical data to study the reasons of frequent relapses. Results： In clinical observation,relapse of NS had mainly relation to some factors such as infection,lack of treatment course, dietary inadequacy and overtired, according to the statistical analysis of the clinical data and relapse factors, so as to make reasonable nursing care as early as possible. Conclusion： Leading cause of frequently relapse of nephrotic syndrome is very complex： regulate the use of hormones, control infection, keep a balanced diet, and have a proper rest, the key to the treatment of frequently relapsing. It is important to seek for clinical markers of relapse,in order to early discover children with frequent relapse risk factors and modify the therapeutic and nursing scheme promptly.Early intervention may reduce the incidence of recurrence.