规范化护理在急性肾出血介入微创栓塞治疗中的价值探讨  

Evaluation of Standardized Nursing in Mini-Invasive Interventional Embolization for Acute Renal Bleeding

作　　者：朱金霞[1] 温晓斐[1] 杨坡[1] 李任飞[1] 王月东[1] 刘德秋[1] 李威[1] 闫龑[1] 申宝忠[1] 

机构地区：[1]哈尔滨医科大学附属第四医院影像中心,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2012年第8期1541-1543,1546,共4页Progress in Modern Biomedicine

基　　金：科技部国际科学合作项目(2009DFB30040);国家自然科学基金(30970807);哈尔滨市科技攻关计划项目(2007AA3CS085);中国博士后科学基金特别资助项目(200801305);第42批中国博士后科学基金面上资助项目(20070420165);黑龙江省青年科学基金(QC2009C03);黑龙江省教育厅资助项目(11551284;11551290);黑龙江省卫生厅资助项目(2005-242;2007-423;2010-127)

摘　　要：目的:探讨规范化护理在急性肾出血介入微创栓塞治疗中的价值。方法:回顾性分析我科38例急性肾出血患者采用明胶海绵、微弹簧圈、聚乙烯醇(PVA)等栓塞剂栓塞出血动脉,规范性做好介入术前、术中、术后护理。结果:除2例肉眼血尿持续10天,其他36例病人全部在术后3天内尿液由介入前全血尿转为淡红色,并在7天肉眼血尿彻底消失。结论:规范化护理是确保介入微创栓塞治疗急性肾出血顺利完成及成功的重要环节,加强术前、术中、术后护理能明显减少介入微创栓塞治疗后再出血的发生,提高介入治疗效果。Objective： To investigate the effect of the standardized nursing in mini-invasive interventional embolization for acute renal bleeding.Methods： Retrospectively analyzed 38 cases of acute renal bleeding,which bleeding arteries were embolized with gelatin sponge particles,micro spring circles and polyvinyl alcohol（PVA） embolic agents,standardized nursing was carried out before,during and after the intervention.Results： Gross hematuria in all cases was changed to pink in 3 days and completely disappeared in 7 days after interventional embolization,except 2 cases continued for 10 days.Conclusions： Standardized nursing is an important point of minimally invasive embolization in acute kidney bleeding cases,re-bleeding rate after interventional therapy reduced greatly by standardized nursing before,during and after the interventional operations.

关 键 词：急性肾出血 介入 规范化护理 

分 类 号：R47[医药卫生—护理学]