CAJ | 학술논문

目的分析尿毒症患者血液透析中出现低血压的时间和季节分布特征,旨在提出相应的护理对策,以减少低血压的发生.方法对2010年1月至2010年12月在本院进行血液透析的147例(1642例次)尿毒症患者进行回顾性分析,探讨在血液透析过程中发生低血压的时间与季节分布情况.结果血液透析时第1个小时为低血压发生的第1个高峰期,血液透析最后1个小时为低血压发生的第2个高峰期,冬、春季低血压发生率明显高于夏、秋季,且冬季最高,春秋季其次,夏季最低,各季节比较差异有统计学意义(P＜0.05).结论血液透析中低血压的发生时间和季节分布呈现规律性变化,应采取相应的护理措施,减少低血压的发生,提高血液透析患者的治疗效果.
목적 분석뇨독증환자혈액투석중출현저혈압적시간화계절분포특정,지재제출상응적호리대책,이감소저혈압적발생.방법 대2010년1월지2010년12월재본원진행혈액투석적147례(1642례차)뇨독증환자진행회고성분석,탐토재혈액투석과정중발생저혈압적시간여계절분포정황.결과 혈액투석시제1개소시위저혈압발생적제1개고봉기,혈액투석최후1개소시위저혈압발생적제2개고봉기,동、춘계저혈압발생솔명현고우하、추계,차동계최고,춘추계기차,하계최저,각계절비교차이유통계학의의(P＜0.05).결론 혈액투석중저혈압적발생시간화계절분포정현규률성변화,응채취상응적호리조시,감소저혈압적발생,제고혈액투석환자적치료효과.
Objective To analyzing the hypotension occurrence time and seasonable distribution features of the uremic patients who after hemodialysis,and presents corresponding and appropriate nursing countermeasures to prevent hypotension during hemodialysis.Methods reviewed and analysised 147 cases of Uremic Patients in a hospital from january 2010 to december 2010,these data were clarified and gathered that include hypotension occurrence time and seasonable detail distribution situation.Results There were 2peaks of hypotension,the first peak of hypotension occurs during the first hour when commencing hemodialysis,and a second peak occurred during the last hour of commencing hemodialysis.The incidence of hypotension in winter and spring was significantly higher than in summer and autumn.The highest in winter,spring and autumn followed,the lowest in summer,which was significantdifference ( P ＜ 0.05).Conclusion According to the occurrence time and seasonal distribution,hemodialysis hypotension presents regular change,corresponding nursing measures should betaken to reduce the occurrence of hypo-tension,and improve blood dialysis effect.