CAJ | 학술논문

目的：探讨对血液透析患者抽搐的预防方法和护理。方法将128例血液透析的患者采用随机数字表法分为A、B、C、D四组，每组32例，A组在患者出现口唇发麻时，给予10％葡萄糖酸钙20 ml缓慢静脉推注；B组、C组和D组分别在血液透析2．5 h、3 h、3．5 h常规给予5％葡萄糖250 ml＋10％葡萄糖酸钙20 ml，从透析通路输入。结果在血液透析2．5 h给予5％葡萄糖250 ml＋10％葡萄糖酸钙20 ml预防患者抽搐的效果明显。 B组患者抽搐的发生率明显少于其他三组（ P＜0.05）。结论对于血液透析的患者进行全面的评估，及早做好预防措施，是预防血液透析的并发症和不良反应的发生，保证血液透析治疗效果的关键。
목적：탐토대혈액투석환자추휵적예방방법화호리。방법장128례혈액투석적환자채용수궤수자표법분위A、B、C、D사조，매조32례，A조재환자출현구진발마시，급여10％포도당산개20 ml완만정맥추주；B조、C조화D조분별재혈액투석2．5 h、3 h、3．5 h상규급여5％포도당250 ml＋10％포도당산개20 ml，종투석통로수입。결과재혈액투석2．5 h급여5％포도당250 ml＋10％포도당산개20 ml예방환자추휵적효과명현。 B조환자추휵적발생솔명현소우기타삼조（ P＜0.05）。결론대우혈액투석적환자진행전면적평고，급조주호예방조시，시예방혈액투석적병발증화불량반응적발생，보증혈액투석치료효과적관건。
Objective To investigate the prevention method of convulsion in hemodialysis patients .Methods We randomly assigned 128 hemodialysis patients into 4 groups (A,B,C and D group),with 32 cases each group.Patients in group A were immediate-ly given 20 ml 10%calcium gluconate by slow intravenous injection when emerging of numb lips .While patients in group B ,C and D were received an intravenous infusion with 250 ml 5%glucose injection plus 20 ml 10%calcium gluconate 2.5 h,3 h and 3.5 h after hemodialysis,respectively.Results The method of immediate intravenous infusion with 250 ml 5%glucose injection plus 20 ml 10%calcium gluconate 2.5 h after hemodialysis exhibits obvious effects of convulsive prevention in hemodialysis patients .The convulsion in-cidence of group B was significantly less than the other three groups (P<0.05).Conclusion The comprehensive assessment and ear-ly preventive measures for the hemodialysis patients is key to prevent complications and adverse reactions ,which can also ensure better therapeutic effects .