规范口服水化方案对合并糖尿病的冠脉介入患者水化效果的影响  

Effect of Standardized Oral Hydration on Hydration of Coronary Interven-tion in Patients with Diabetes Mellitus

作　　者：杨献军[1] 王晓璟[1] 时永超[1] 

机构地区：[1]福建中医药大学附属第二人民医院心血管科,福建福州350003

出　　处：《糖尿病新世界》2016年第20期129-130,共2页Diabetes New World Magazine

摘　　要：目的观察规范口服水化方案对合并糖尿病的冠脉介入患者水化效果的影响。方法对照组嘱患者在介入前后多饮水以促进造影剂的排出。实验组实施规范化的口服水化护理方案:介入前2 h开始饮水;介入后3 h定时、定量饮水;根据造影剂用量指导术后24 h饮水的总量。结果两组患者术后4 h尿量、CIN发生率及出现胃肠道不适症状的例数比较,P<0.05,差异有统计学意义。结论规范化的口服水化方案符合造影剂排泄规律,有助于减少造影剂肾病(CIN)发生,也有益于减少胃肠道不良症状的发生。Objective Effect of the standardized oral solution on hydration of coronary intervention in patients with diabetes mellitus. Methods The patients in control group before and after the intervention to promote the water discharge of the contrast agent.Experimental group to implement standardized oral hydration nursing program：2 hours before the start of drinking water;3 hours after intervention, quantitative drinking water;The total amount of drinking water was 24 hours after operation according to the dosage of contrast agent. Results Two groups of patients with postoperative 4 hours urine volume, CIN incidence and the incidence of gastrointestinal symptoms of the number of cases, P〈0.05, the difference was statistically significant. Conclusion The standardized oral hydration solution is in line with the law of contrast agent excretion, which helps to reduce the incidence of contrast induced nephropathy（CIN）, and also to reduce the incidence of gastrointestinal symptoms.

关 键 词：水化疗法 糖尿病 经皮冠状动脉介入治疗 造影剂肾病 

分 类 号：R587.1[医药卫生—内分泌]