水化疗法对糖尿病合并症患者术后肾损伤的影响  

Effect of Hydration Therapy on Postoperative Renal Injury in Patients with Diabetic Complications

作　　者：赵祥敏 马鹰[1] Zhao Xiangmin;Ma Ying(China-Japan Union Hospital of Jilin University,Changchun 130000,China)

机构地区：[1]吉林大学中日联谊医院,长春130000

出　　处：《黑龙江科学》2024年第22期134-136,共3页Heilongjiang Science

摘　　要：探讨水化疗法对糖尿病合并下肢动脉硬化闭塞症(ASO)患者支架植入术后肾损伤的影响,为全面准确地评估肾功能状态及肾脏疾病的预防、诊断和治疗提供有力支持。回顾性分析近年来在我院接受支架植入术的50例糖尿病合并ASO患者的临床资料,将其分为对照组与治疗组,比较两组患者术前术后水化治疗对肾功能指标的影响。所有患者均接受标准化支架植入术,并根据术前肾功能状况及患者的具体情况制定个性化的水化治疗方案。研究结果显示,治疗组患者支架植入术后的肾功能指标(如血清肌酐、尿素氮及β2微球蛋白等)的恶化程度显著低于对照组,说明水化疗法在糖尿病合并下肢动脉硬化闭塞症患者支架植入术后对肾损伤的预防效果显著,通过制定个性化的水化治疗方案可以显著降低患者术后肾损伤的风险,提高手术的安全性和患者的生存质量。The study investigates the effect of hydration therapy on renal injury after stenting in diabetic patients with lower extremity arteriosclerosis obliterans(ASO);and provides strong support for comprehensive and accurate assessment of renal function status and prevention,diagnosis and treatment of renal diseases.The clinical data of 50 diabetic patients with ASO who received stenting in the hospital in recent years were retrospectively analyzed,and they were divided into control group and treatment group.The effects of preoperative and postoperative hydration therapy on renal function indexes are compared between the two groups.All patients receive standardized stent implantation,and personalized hydration treatment is developed according to the preoperative renal status and the specific conditions of the patients.The results show that the deterioration of renal function indicators(such as serum creatinine,urea nitrogen and β2 microglobulin,etc.)after stenting is significantly lower in the treatment group than in the control group.This indicates that hydration therapy is effective in preventing kidney injury in patients with diabetes mellitus complicated with lower extremity arteriosclerosis obliterans after stent implantation.Through developing a personalized hydration treatment plan,the risk of renal injury can be significantly reduced,and the safety of surgery and the quality of life of patients can be improved.

关 键 词：水化疗法 下肢动脉硬化闭塞症 肾功能 糖尿病 

分 类 号：R654.4[医药卫生—外科学]