肾脏移植术中规范化用药的意义及护理配合

The Significance of Programmed Drugs Administration and Nursing Cooperation During the Operation of Kidney Transplantation

目的 探讨肾脏移植术中规范化用药的意义及护理配合的方法 ,提高肾脏移植手术质量。方法 选择配合开展肾移植术中规范化用药的患者 71例作为研究对象 ,前期开展的 37例病人作为对照。比较分析规范化用药对手术安全性、肾血流开放后血压变化、移植肾初尿出现时间、单位时间尿量、移植后近期并发症的影响。结果 规范化用药有助于护理人员根据手术进展情况主动配合完成各种肾移植药物的应用。移植肾血流开放后血压变化小 ,明显较对照组下降幅度小 (P <0 .0 1) ;肾初尿出现快 ,与对照组相比差异显著 (P <0 .0 5 ) ;移植后早期尿量增加 ,明显高于对照组 (P <0 .0 5 )。结论 规范化用药保证了肾移植药物更合理应用 ,使术中用药更易于配合 ,提高了手术的安全性 ,促进移植肾功能的迅速恢复。

Objective To study the significance of programmed drugs administration and methods of nursing cooperation during the operation of kidney transplantation.Methods 71 patients treated with programmed drugs administration during kidney transplantation were selected as experimental group and 37 patients without this protocol as control group. The changes of blood pressure, the time of urine occurring and mean output of urine at 15 minutes following reperfusion, as well as the complications post operation were compared.Results The protocol of programmed drugs administration made nurse cooperating with surgeon convenient; The changes of blood pressure following reperfusion in experimental group were less than that in the control group,P<0.01;The time of urine occurring in experimental group was earlier than that in control group,P<0.05;Mean outputs of urine at 15 minutes in experimental group were greater than that in control group,P<0.05.Conclusions Programmed drugs administration has advantages for optimal use of the drugs needed in kidney transplantation and for convenience of nurse cooperating during operation,and keeps operation safer and promotes patients recovery.