糖尿病肾病与其他肾病终末期行血液透析诱发无痛性心肌梗塞的护理比较  

The nursing on the final stage of diabetic nephropathy which supervene hemodialysis induced painless myocardial infarction： Comparsion with the others on nursing

作　　者：纪文英[1] 郑爱英[1] 郑雪英[1] 陈慎仁[1] 杨毅华[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《国际护理学杂志》2009年第2期203-205,共3页international journal of nursing

摘　　要：目的探讨糖尿病肾病终末期病人行血液透析发生心肌梗塞的特点及护理要点。方法对204例糖尿病肾病终末期实施血液透析病人与同期665例其他肾病终末期行血液透析病人发生心肌梗塞的特点进行对比。结果糖尿病肾病终末期病人与其他肾病终末期血液透析病人对比，心梗发生率的差异有显著性意义，并且糖尿病肾病终末期病人多发生无痛性心肌梗塞。结论糖尿病肾病终末期病人血液透析更容易诱发无痛性心肌梗塞，应加强透析过程及透析后4h内的心电监护。Objective To investigate the agents and the nursing experiences on the final stage of diabetic nephropathy, which supervened with hemodialysis induced painless myocardial infarction. Methods Investigating the different characteristics on the final stage of nephropathy patiens, which supervening with hemodialysis induced painless myocardial infarction, in 204 patiens with diabetic nephropathy and another 665 patiens with other type of nephropathy. Results Hemodialysis treated in the final stage of nephropathy patiens, a higher incidence of the painless myocardial infarction would be detected in diabetic nephropathy patiens than other type of nephropathy. Conclusion The electrocardio - monitoring during hcmodialysis and the first 4 hours after hemodialysis is very important.

关 键 词：糖尿病肾病 其他肾病 终末期 血液透析 心肌梗塞 

分 类 号：R473.5[医药卫生—护理学]