CAJ | 학술논문

目的探讨老年尿毒症患者血液透析诱导期护理方法.方法 2010年3月开始改进护理方法,选择2010年3月至2011年3月收治的68例老年尿毒症住院患者为观察组,回顾性分析2009年3月至2010年2月收治的59例住院患者为对照组.对2组患者的并发症发生率进行比较.结果观察组发生3例心律失常,5例低血压,2例失衡综合征；对照组发生11例心律失常,16例低血压,8例失衡综合征,且对照组中3例患者因严重的心律失常而死亡.2组患者不同并发症发生率经比较有差异.结论心血管事件是老年尿毒症患者血液透析期最严重的并发症,科学合理的护理方法可以减少这些并发症.
목적 탐토노년뇨독증환자혈액투석유도기호리방법.방법 2010년3월개시개진호리방법,선택2010년3월지2011년3월수치적68례노년뇨독증주원환자위관찰조,회고성분석2009년3월지2010년2월수치적59례주원환자위대조조.대2조환자적병발증발생솔진행비교.결과 관찰조발생3례심률실상,5례저혈압,2례실형종합정；대조조발생11례심률실상,16례저혈압,8례실형종합정,차대조조중3례환자인엄중적심률실상이사망.2조환자불동병발증발생솔경비교유차이.결론 심혈관사건시노년뇨독증환자혈액투석기최엄중적병발증,과학합리적호리방법가이감소저사병발증.
Objective To discuss the nursing methods of senile uremia patients during induction period of hemodialysis. Methods Improved nursing methods have been adopted since March 2010 in our department.68 senile uremia inpatients from Match 2010 to March 2011 were selected as the observation group,while 59 inpatients from March 2009 to February 2010 were reviewed as the control group.The incidence of complications was compared between the two groups. Results There were 3 cases of arrhythmia,5 cases of hypotension and 2 cases of disequilibrium syndrome in the observation group,while 11 cases of arrhythmia,16 cases of hypotension and 8 cases of disequilibrium syndrome in the control group.3 patients of the control group died of severe arrhythmia.There was statistical difference of complication incidence between the two groups. Conclusions Cardiovascular events are the most severe complications for senile uremia patients during induction period of hemodialysis,which can be reduced by scientific and reasonable nursing.