CAJ | 학술논문

目的对维持性血液透析(MHD)患者死亡原因及相关因素进行探讨,从而采取相应的护理干预.方法回顾分析我院MHD患者中死亡患者的死亡原因,并与同期透析对照组患者进行相关因素比较.结果 2005年1月至2009年9月在我院血液净化中心行常规血液透析(HD)治疗的120例MHD患者中死亡26例,心血管并发症、脑血管意外和感染是MHD患者死亡的主要原因;选择透析治疗时机过晚、高血压、透析间期体重增加过高、低血红蛋白、低白蛋白等是主要的相关危险因素.结论重点评估血压、选择早期透析、对患者进行有效的血液透析护理管理,建立个体化的整体透析治疗与护理方案是降低维持性血液透析患者死亡率的关键.
목적 대유지성혈액투석(MHD)환자사망원인급상관인소진행탐토,종이채취상응적호리간예.방법 회고분석아원MHD환자중사망환자적사망원인,병여동기투석대조조환자진행상관인소비교.결과 2005년1월지2009년9월재아원혈액정화중심행상규혈액투석(HD)치료적120례MHD환자중사망26례,심혈관병발증、뇌혈관의외화감염시MHD환자사망적주요원인;선택투석치료시궤과만、고혈압、투석간기체중증가과고、저혈홍단백、저백단백등시주요적상관위험인소.결론 중점평고혈압、선택조기투석、대환자진행유효적혈액투석호리관리,건립개체화적정체투석치료여호리방안시강저유지성혈액투석환자사망솔적관건.
Objective To study the death cause and its correlated factors in maintenance hemodialysis patients in order to adopt the prevention and nursing. Methods To retrospectively analyze the death cause of MHD patient, compare correlated factors with patient who underwent hemodialysis at the same time. Results 26 out of 120 patients underwent HD died from January 2005 to September 2009. Cardiovascular disease, cerebrovascular disease and severe infections were the main death causes in MHD patients; the main correlated risk factor were receiving hemodialysis later, hypertension, fast weight growth, hypohemoglobinemia, hypoalbuminemia. Conclusions It is crucial that assessing blood pressure, receiving hemodialysis earlier, giving effective nursing management, establishing a whole individual set of treatment scheme and nursing plan to reduce the mortality of hemodialysis patients.