抗中性粒细胞胞质抗体相关性血管炎肾损害患者的护理

Nursing of patients with anti-neutrophil cytoplasmic antibody associated with vasculitis and renal damage

目的探讨抗中性粒细胞胞质抗体相关性血管炎肾损害患者的护理方法。方法回顾性分析10例抗中性粒细胞胞质抗体相关性血管炎肾损害患者的护理措施。结果 9例患者均病情好转出院,其中7例血清肌酐水平明显下降;2例继续门诊血液透析,1例因严重肺部感染导致呼吸衰竭死亡。结论严密观察患者的病情变化,预防并发症的发生,做好心理护理,对提高抗中性粒细胞胞浆抗体相关性血管炎患者的治疗效果和护理质量具有重要的意义。

Objective To summarize the nursing strategies for the patients with anti-neutrophil cytoplasmic antibody associated with vasculitis and renal damage.Methods The nursing histories of 10 patients with anti-neutrophil cytoplasmic antibody associated with vasculitis and renal damage were retrospectively analyzed to summarize the nursing strategies.Results Nine of them were discharged after improvement. Seven of them had marked decrease in serum creatinine, 2 survived by hemodialysis at the outpatient section and 1 died of severe pulmonary infection.Conclusion Such strategies as close observation of patients, prevention of complications and mental care are important for the curative effect and nursing quality for the patients with anti-neutrophil cytoplasmic antibody associated with vasculitis and renal damage.