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目的:探讨干预护理对肾病血液透析患者中心静脉导管血栓及纤维鞘的临床效果。方法:选取肾病血液透析患者中静脉导管功能不良患者64例,随机分为对照组和研究组两组,每组各32人。对照组不做针对血栓及纤维鞘形成的干预护理,对研究组进行无菌技术操作、使用导管内尿激酶溶栓等护理措施,比较两组患者血栓及纤维鞘的形成和再形成率以及并发症情况。结果:对照组的血栓及纤维鞘的形成和再形成率分别为78.13%和62.50%,研究组的血栓及纤维鞘的形成和再形成率分别为43.75%和28.13%,研究组形成率要低于对照组,且组间具有明显差异(x2=5.287,P<0.01);研究组的并发症情况优于对照组,且具有明显差异(x2=6.286,P<0.01)。结论:对肾病血液透析患者进行针对导管血栓及纤维鞘形成的干预护理十分必要,能有效降低导管血栓及纤维鞘的形成状况、减少并发症的发病率,提高透析患者的治疗效果和生活质量。
Objective: To investigate the clinical effect of intervention nursing on central venous catheter thrombosis and fibrous sheath in hemodialysis patients with nephropathy. Methods: Sixty-four patients with renal venous catheter dysfunction in hemodialysis patients were randomly divided into control group and study group, with 32 in each group. The control group did not do intervention nursing for the formation of thrombus and fibrous sheath, aseptic technique was applied to the study group, and catheterization of urokinase thrombolysis and other nursing measures were used to compare the formation and re-formation rate of thrombus and fibrous sheath in both groups Symptoms. Results: The formation and reformation rate of thrombus and fibrous sheath in control group were 78.13% and 62.50% respectively. The formation and reformation rates of thrombus and fibrous sheath in study group were 43.75% and 28.13%, respectively. The formation rate of study group was lower (X2 = 5.287, P <0.01). The complication of the study group was better than that of the control group (x2 = 6.286, P <0.01). Conclusion: It is very necessary to carry out interventional care on hemodialysis patients with catheter thrombus and fibrous sheath formation, which can effectively reduce the incidence of catheter thrombosis and fibrous sheath formation, reduce the incidence of complications and improve the therapeutic effect and quality of life of dialysis patients.