尿毒症维持性血透患者并发症的临床观察分析  

To analysis the complication of uremic patients on maintenance hemodialysis

作　　者：沈冰[1] 

机构地区：[1]上海市第六人民医院金山分院肾内科,上海201599

出　　处：《湖南中医药大学学报》2012年第6期44-45,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的总结和分析尿毒症维持性血透患者常见并发症及其诱发原因,并提出临床的指导意见。方法 80例尿毒症患者血透过程中严密观察患者临床状况,详细记录患者并发症情况。选取同类研究作为对比参照,了解不同并发症的发生比例,并作为本组研究对象的一个补充。结果发生率超出10%的并发症包括高血压、心动过速、低血压和肺部感染,其中高血压发生比例占32.5%,与其他各组比较差异有统计学意义(P<0.05)。结论尿毒症维持性血透患者临床的并发症种类很多,以高血压、心脏类并发症、肺部感染等为主,临床应积极采取对症手段进行预防,尽可能将发病的可能性遏制在萌芽中,从而降低并发症发生率,提高临床治疗与护理有效率。Objective To summarize and analyze the hemodialysis complications and causes of uremia patients , and puts forward the clinical guidance. Methods The clinical status, detailed records of 80 uremia hemodialysis patients were observationed ,the complications of patients were recoreds. Similar studies as a comparative reference were selected, to understand the different complications proportion, and supplement as the research object. Results The incidence rate of more than 10% complications including hypertension, tachycardia, hypotension and heartbeat lung infection; in which hypertension accounted for 32.5%, and other groups had significant difference （P〈 0.05）. Conclusion uremic hemodialysis patients have many types of clinical complications, hypertension, heart complications, pulmonary infection, clinical should be adopted actively symptomatic means to prevent, as far as possible, the likelihood of onset of containment in the bud, thereby reduce the incidence of complications, improve the clinical treatment and nursing efficiency.

关 键 词：尿毒症 维持性血透 并发症 临床分析 

分 类 号：R692.5[医药卫生—泌尿科学]