水化治疗对老年患者行冠状动脉造影术后肾功能的影响及护理  

Influence of hydration therapy for the elderly patients implemented coronary angiography on postoperative kidney function and its nursing

作　　者：许红燕[1] 

机构地区：[1]江苏省常州市第二人民医院心内二科,江苏常州213003

出　　处：《实用临床医药杂志》2014年第2期16-17,20,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察水化治疗对老年冠状动脉造影术后造影剂肾病(CIN)发生率的影响及护理方法。方法将210例接受冠脉造影术的老年患者(年龄≥60岁)随机分为对照组(n=106)和水化组(n=104),所有接受冠脉造影的患者于术前及术后48h检测血肌酐水平,根据手术前后血肌酐水平的变化情况来计算CIN的发生率。结果 2组患者的术前血肌酐水平及术中造影剂用量无显著差异,水化组术后CIN的发生率为6.7%,显著低于对照组CIN的发生率26.9%(P<0.05)。结论水化护理能够有效降低老年患者冠脉造影术后CIN的发生率。Objective To observe influence of hydration therapy for the elderly patients implemented coronary angiography on postoperative contrast-induced nephropathy（CIN） and its nursing measures.Methods A total of 210 elderly patients aged 60 yearsold and above implemented coronary angiography were randomly divided into control group with 106 patients and hydration group with 104 patients. Levels of serum creatinine of 48 hours were tested in all patients before surgery and after surgery in order to calculate the incidence rate of CIN. Results There were no significant difference in preoperative serum creatinine level and intraoperative dosage of contrast agent in two groups. The incidence rate of CIN in hydration group with 6.7% was obviously lower than that in the control group with 26.9%（P 0. 05）. Conclusion Hydration therapy could effectively reduce the incidence rate of CIN in the elderly patients after coronary angiography.

关 键 词：造影剂肾病 水化护理 冠脉造影术 

分 类 号：R472.9[医药卫生—护理学]