对血液透析患者抽搐的预防和护理研究  

Prevention and nursing of convulsions in hemodialysis patients

作　　者：洪霞[1] 陈仙[1] 曾兴业[1] 潘若望[1] 黄大道[1] 胡素勤[2] 

机构地区：[1]解放军113医院118临床部外一科,浙江温州325000 [2]解放军113医院118临床部护理部,浙江温州325000

出　　处：《东南国防医药》2014年第2期163-165,170,共4页Military Medical Journal of Southeast China

摘　　要：目的探讨对血液透析患者抽搐的预防方法和护理。方法将128例血液透析的患者采用随机数字表法分为A、B、C、D四组,每组32例,A组在患者出现口唇发麻时,给予10%葡萄糖酸钙20 ml缓慢静脉推注;B组、C组和D组分别在血液透析2.5 h、3 h、3.5 h常规给予5%葡萄糖250 ml+10%葡萄糖酸钙20 ml,从透析通路输入。结果在血液透析2.5 h给予5%葡萄糖250 ml+10%葡萄糖酸钙20 ml预防患者抽搐的效果明显。B组患者抽搐的发生率明显少于其他三组(P<0.05)。结论对于血液透析的患者进行全面的评估,及早做好预防措施,是预防血液透析的并发症和不良反应的发生,保证血液透析治疗效果的关键。Objective To investigate the prevention method of convulsion in hemodialysis patients .Methods We randomly assigned 128 hemodialysis patients into 4 groups （A,B,C and D group）,with 32 cases each group.Patients in group A were immediate-ly given 20 ml 10%calcium gluconate by slow intravenous injection when emerging of numb lips .While patients in group B ,C and D were received an intravenous infusion with 250 ml 5%glucose injection plus 20 ml 10%calcium gluconate 2.5 h,3 h and 3.5 h after hemodialysis,respectively.Results The method of immediate intravenous infusion with 250 ml 5%glucose injection plus 20 ml 10%calcium gluconate 2.5 h after hemodialysis exhibits obvious effects of convulsive prevention in hemodialysis patients .The convulsion in-cidence of group B was significantly less than the other three groups （P〈0.05）.Conclusion The comprehensive assessment and ear-ly preventive measures for the hemodialysis patients is key to prevent complications and adverse reactions ,which can also ensure better therapeutic effects .

关 键 词：血液透析 抽搐 预防 护理 

分 类 号：R692.5[医药卫生—泌尿科学] R459.5[医药卫生—外科学]