圆斑蝰蛇咬伤伴急性肾衰患者血液透析与灌注的护理研究  

Nursing measures related to hemodialysis and perfusion in patients with acute renal failure bitten by Viperarusselii

作　　者：陈冰冰 冷英杰 林小玲 蔡艳萍 罗毅[2] CHEN Bingbing;LENG Yingjie;LIN Xiaoing;CAI Yanping;LUO Yi(Hemodialysis Center,910 Hospital of Joint Logistics Support Force,Quanzhou 362000,Fujian,China;Department of Emergency,Liuzhou Traditional Chinese Medicine Hospital,Liuzhou 545001,Guangxi,China)

机构地区：[1]联勤保障部队第910医院血透中心,福建泉州362000 [2]柳州市中医院急诊科,广西柳州545001

出　　处：《外科研究与新技术》2023年第2期146-148,152,共4页Surgical Research and New Technique

基　　金：柳州市科学研究与技术开发计划项目课题(2017BH20302)。

摘　　要：目的研究圆斑蝰蛇咬伤伴急性肾衰竭行血液透析与灌流的相关护理措施。方法选取2021年9月—2022年7月收治的被圆斑蝰蛇咬伤且伴有急性肾衰竭的患者64例。按随机数字表法分成观察组和对照组,每组各32例。两组患者均实行血液透析治疗,医护人员需认真做好手术前中后期的观察工作。对照组采用传统护理方法,包括心理护理以及饮食护理;观察组在传统的护理方法上还实行了体位护理。比较两组患者的恢复效果和护理满意度。结果观察组的总有效率高达96.85%,显著高于对照组的87.50%,差异有统计学意义(P<0.05)。观察组患者对于护理的满意程度明显高于对照组,差异均有统计学意义(P<0.05)。结论在对圆斑蝰蛇咬伤伴有及伴有急性肾衰竭的患者实施血液透析与灌流后,可以有效控制患者病情,再加上合理有效的护理方法,能大大提高治愈效果。Objective To study the nursing measures related to hemodialysis and perfusion for patients with acute renal failure bitten by Viperarusselii.Methods From September 2021 to July 2022,a total of 64 patients with acute renal failure who were bitten by Viperarusselii were randomly divided into two groups:an observation group and a control group,with 32 patients in each group.Both groups of patients were treated with hemodialysis,and the medical staff carefully observed the patients before,during,and after the operation.The control group adopted traditional nursing methods,including psychological nursing and diet nursing;the observation group also carried out posture nursing on the traditional nursing methods.The recovery effect and nursing satisfaction of the two groups were compared.Results The total effective rate of the observation group was 96.85%,which was significantly higher than that of the control group(87.50%,P<0.05).The satisfaction of the patients in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Hemodialysis and perfusion can effectively control the condition of patients with Viperarusselii bite and acute renal failure,and reasonable and effective nursing methods can greatly improve the curative effect.

关 键 词：圆斑蝰蛇 急性肾衰 血液透析 血液灌流 

分 类 号：R473.5[医药卫生—护理学]