摘要
目的探讨血液透析联合血液灌流对维持性血液透析患者微炎症的影响及相应的护理措施。方法将48例维持血液透析患者根据随机数字表法均分为两组,对照组24例给予血液透析和常规护理,观察组24例给予血液透析联合血液灌流治疗,采用综合护理干预,对比两组患者护理前后CRP、PTH、β2-微球蛋白数值变化以及患者护理满意度。结果对照组护理前后CRP、PTH以及β2-微球蛋白无显著变化,观察组护理后显著降低,且与对照组比较,差异有统计学意义(P<0.05);观察组的护理满意度较对照组提高(P<0.05)。结论给予维持血液透析患者血液透析联合血液灌流治疗的同时加以综合性的护理干预措施,可改善患者微炎症状态。
Objective To investigate the effect of hemodialysis combined with hemoperfusion on microinflammation in maintenance hemodialysis patients and the corresponding nursing measures. Methods 48 cases of maintenance hemodialysis patients were divided into two groups according to the random number table, the control group 24 cases were given hemodialysis and routine care, the observation group 24 cases were given hemodialysis combined with hemoperfusion treatment, the use of comprehensive nursing intervention, the levels of CRP, PTH and β2-microglobulin before and after nursing care were compared between the two groups, and patient satisfaction were compared between the two groups before and after nursing. Results The levels of CRP, PTH and β2- microglobulin in the control group were not significantly different from those in the control group, the observation group after nursing significantly reduced, and compared with the control group, the difference was statistically significant (P〈0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group (P〈0.05). Conclusion It can improve the micro inflammatory state of patients with hemodialysis and hemoperfusion combined with comprehensive nursing interventions.
作者
潘幼珍
PAN Youzhen(Blood Purification Room, Binyang County Traditional Chinese Medicine Hospital, Nanning Guangxi 530400, Chin)
出处
《中国继续医学教育》
2017年第4期237-239,共3页
China Continuing Medical Education
关键词
血液透析
护理
血液灌流
微炎症
hemodialysis
nursing, blood perfusion
microinflammation