老年血液透析患者并发心血管急症的临床分析及护理探讨  

Clinical analysis and nursing exploration of elderly hemodialysis patients with concurrent cardiovascular emergencies

作　　者：戴茹雯 Dai Ruwen(Nanjing Gaochun People's Hospital,Nanjing 211300,China)

机构地区：[1]南京市高淳人民医院,江苏南京211300

出　　处：《中西医结合心血管病电子杂志》2023年第28期12-14,共3页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的 分析老年患者血液透析并发心血管急症的状况及护理中应当掌握的要点。方法 回顾性分析2022年3月至2023年1月在我院接受血液透析进而并发心血管急症的老年患者100例,总结和分析其临床特点及展开对应护理时,应当掌握的要点。结果 所有患者在接受干预后均得到有效抢救,且后续显示其状况好转;接受血液透析治疗过程中共出现不同种类的心血管疾病急症301次,针对不同种类的临床特征采用基础生命指标监测,配合治疗措施展开护理干预,后续使得患者在接受血液透析治疗中出现这些心血管急症的风险降低,且患者血压、心率均较干预前明显改善(P<0.05)。结论 老年患者接受血液透析治疗过程中有较高的风险并发心血管急症,应当严格监测其生命指标,结合患者的个体状况严密采用包括药物干预在内的预防措施,进而降低心血管急症的发生率。Objective To summarize the analysis of cardiovascular emergencies in elderly patients undergoing hemodialysis and the key points that should be mastered in nursing care.Methods A retrospective analysis was conducted on a total of 100 elderly patients who developed cardiovascular emergencies due to receiving hemodialysis from March 2022 to January 2023.The analysis of cardiovascular emergencies in elderly hemodialysis patients and the key points that should be mastered when carrying out corresponding nursing care were Summarized.Results All patients received effective rescue after receiving intervention,and subsequently showed improvement in their condition.During the process of receiving hemodialysis treatment,a total of 301 different types of cardiovascular emergencies occurred in these patients.Basic life indicators were monitored based on different clinical characteristics,and nursing interventions were carried out in conjunction with treatment measures.Subsequently,the risk of these cardiovascular emergencies in patients receiving hemodialysis treatment was reduced,and the patient's blood pressure and heart rate showed significant improvement compared to before the intervention(P<0.05).Conclusion Elderly patients undergoing hemodialysis treatment have a higher risk of developing cardiovascular emergencies.Their vital indicators should be strictly monitored,and preventive measures,including medication intervention,should be taken in conjunction with individual patient conditions to reduce the incidence of cardiovascular emergencies.

关 键 词：肾病 透析治疗 老年患者 心血管急症 并发症 

分 类 号：R473[医药卫生—护理学]