肾病综合征患儿发生肾上腺危象的相关危险因素及护理干预措施  

Exploration of the Related Risk Factors and Nursing Intervention Measures of Adrenal Crisis in Children with Nephrotic Syndrome

作　　者：江秀梅 陈乃清[1] 陈熳妮[1] 陈丽愉 胡嘉怡 JIANG Xiumei;CHEN Naiqing;CHEN Manni;CHEN Liyu;HU Jiayi(Guangdong Hospital of Traditional Chinese Medicine, Guangzhou 510120, China)

机构地区：[1]广东省中医院,广东广州510120

出　　处：《现代医院》2019年第4期621-624,共4页Modern Hospitals

摘　　要：目的探讨肾病综合征患儿发生肾上腺危象的相关危险因素,加强护理干预措施,提高早期识别率,降低死亡率。方法选取我科自2012年—2017年收治的215例肾病综合征患儿,其中21例并发肾上腺危象的患儿的临床资料,回顾性分析两组间患儿的临床资料基线及实验室指标,行Logistic回归分析肾病综合征患儿发生肾上腺危象的相关危险因素。结果结果:恶心、呕吐、腹痛、疲倦、无尿、肤冷、钠离子低、钾离子高、血浆纤维蛋白原、白细胞、尿蛋白等是肾病综合征患儿中发生肾上腺危象中均有统计学意义,而低钠、高钾、毛细血管充盈试验时间延长、白细胞升高是肾病综合征患儿发生肾上腺危象的危险因素。结论尽早识别、及时护理干预可减少肾上腺危象的并发症、降低死亡率。Objective To explore the related risk factors of adrenal crisis in children with nephrotic syndrome, strengthen nursing intervention, improve the early recognition rate and reduce the mortality. Methods The clinical data of 215 children with nephrotic syndrome in our department from 2012-2017, including 21 cases of adrenal crisis, were analyzed retrospectively. The baseline and laboratory indexes of the clinical data of the two groups were analyzed retrospectively. The risk factors related to the adrenal crisis in children with nephrotic syndrome were analyzed by Logistic regression. Results Nausea, vomiting, abdominal pain, tiredness, no urine, skin cold, low sodium ion, high potassium ion, FIB, white blood cell and urine protein were statistically significant in the adrenal crisis in children with nephrotic syndrome, while low sodium, high potassium, CRT lengthening, and white blood cell rise are the independent risk factors for adrenal crisis in children with nephrotic syndrome. Conclusion Early identification and timely nursing intervention can reduce the complications and mortality of adrenal crisis.

关 键 词：肾病综合征 肾上腺危象 危险因素 护理干预 

分 类 号：R473.72[医药卫生—护理学]