心理干预联合肾脂肪囊内注射药物治疗肾病手术临床分析

Clinical analysis of psychological intervention combined with intracapsular injection of kidney fat in the treatment of nephrotic diseases

目的探讨心理干预联合肾脂肪囊内注射药物治疗肾病的手术临床分析,寻找行之有效的治疗方式。方法选择本院2014年3月~2016年9月收治的140例肾病患者,依据国际字符表法将患者随机分为研究组与对照组,各70例,对照组予以单一性的肾脂肪囊内药物注射治疗,研究组予以联合性的心理干预＋肾脂肪囊内注射药物治疗,治疗周期结束后比较2组患者24小时尿蛋白定量、尿微量白蛋白;比较2组患者的不良反应发生率;比较2组患者的情绪状态（SAS、SDS量表）。结果研究组患者的微量尿白蛋白水平为（139.75±20.04）μg/min、24 h尿蛋白定量水平为（1.43±0.59）g/24 h显著性低于对照组（189.74±19.54）μg/min、（4.77±2.14）g/24 h（P〈0.05）。研究组不良反应发生率为4.29%虽低于对照组7.14%,但是差异无统计学意义;研究组患者的焦虑自评量表评分（32.35±2.19）分、抑郁自评量表评分（38.65±3.54）分低于对照组（55.97±2.14）分、（54.21±7.89）分（P〈0.05）。结论心理干预联合肾脂肪囊内注射药物治疗肾病能够明显改善患者的肾功能水平,能够干预患者的不良情绪,且安全性较高,医护人员可推广。

Objective To explore the psychological intervention combined with intracapsular injection of kidney fat in the treatment of nephropathy clinical analysis,looking for effective treatment. Methods 140 patients with nephropathy were enrolled in our hospital from March 2014 to September 2016. Patients were randomly divided into study group（ n = 70） and control group（ n = 70） according to the international character table method. Group of patients with a single renal fat capsule drug injection therapy,the study group to be combined with psychological intervention ＋ kidney fat intracapsular injection of drug treatment,the treatment cycle after the end of two groups of patients compared with 24 hours of urine protein quantification,urine microalbumin; The incidence of adverse events in the two groups of patients was compared between the two groups of patients with emotional status（ SAS,SDS scale）. Results The levels of urinary albumin in the study group were（ 139. 75 ± 20. 04） μg/min,and the 24 h urine protein level was（ 1. 43 ±0. 59） g/24 h significantly lower than the control group（ 189. 74 ± 19. 54） μg/min,（ 4. 77 ± 2. 14） g/24 h（ P〈 0. 05）. The incidence of adverse reactions in the study group was 4. 29%,which was lower than that of the control group（ 7. 14%）. However,there was no significant difference between the two groups. The self-rating scale of the study group（ 32. 35 ± 2. 19）（ 38. 65 ± 3. 54） points were lower than the control group（ 55. 97 ± 2. 14） points,（ 54. 21 ± 7. 89） points（ P〈 0. 05）. Conclusion Psychological intervention combined with intracapsular injection of renal capsule can significantly improve the renal function of patients,can interfere with the patient＇s bad mood,and high security,health care workers can be promoted.