连续性血液滤过治疗横纹肌溶解症致急性肾损伤患者的效果观察及护理  

Effect of continuous hemofiltration on acute renal injury induced by rhabdomyolysis and relevant nursing strategies

作　　者：苏海燕[1,2] 曾石养[1,2] 刘洋[1,2] 陈少娟[1,2] 

机构地区：[1]暨南大学医学院附属清远医院 [2]广东省清远市人民医院,广东清远511518

出　　处：《现代临床护理》2014年第1期32-34,共3页Modern Clinical Nursing

摘　　要：目的探讨连续性血液滤过治疗横纹肌溶解症致急性肾损伤(akiacutekidneyinjury,AKI)患者的效果及总结护理经验。方法对10例横纹肌溶解症致AKI患者采用连续性血液滤过治疗及相应的护理措施。结果经过治疗,10例患者中有7例肾功能恢复正常,治愈出院;2例病情好转出院;1例需要长期维持性血液透析治疗。治疗后患者血清肌酸磷酸激酶(creatine phosphate kinase,CPK)、肌红蛋白(myoglobin,Mb)、尿素氮(urea nitrogen,BUN)、肌酐(creatinine,Scr)、天门冬氨酸氨基转移酶(aspartate amino transferase,AST)浓度逐渐下降,血K+恢复至正常水平,尿量逐渐增多恢复至正常,治疗前后比较,均P<0.05,差异具有统计学意义。结论连续性血液滤过治疗及相应的护理对保证连续性血液滤过治疗的效果,改善横纹肌溶解症预后有着重要意义。Objective To investigate the effect of continuous hemofiltration in patients with acute renal injury induced by rhabdomyolysis and summarize the nursing experience.Methods Ten patients with acute kidney injury induced by rhabdomyolysis were managed with continuous hemofiltration,corresponding nursing care performed.Results After treatment,the renal function of 7 patients resumed normal,the function of 2 were improved,and only 1 needed long-term hemodialysis.After treatment,the levels of serum creatine phosphokinase（CPK）,myoglobin（Mb）,blood urea nitrogen（BUN）,creatinine（Scr）,aspartate aminotransferase（AST） were gradually decreased,K＋resumed normal and urine volume increased to normal level,with significant difference as compared to those before treatment（P＆lt;0.05）.Conclusions Continuous hemofiltration together with pertinent nursing measures can ensure the curative effect.It is of great significance for improving the prognosis of rhabdomyolysis.

关 键 词：横纹肌溶解症 急性肾损伤 连续性血液滤过 护理 

分 类 号：R473.5[医药卫生—护理学]