心血管病防治知识（下半月）
心血管病防治知識（下半月）
심혈관병방치지식（하반월）
XINXUEGUANBING FANGZHI ZHISHI
2013年
10期
55-57
,共3页
同型半胱氨酸%脑梗死%血浆%参考指标%作用
同型半胱氨痠%腦梗死%血漿%參攷指標%作用
동형반광안산%뇌경사%혈장%삼고지표%작용
Deep venous catheterization%Clinical nursing%Experience
目的：探讨临床对脑梗死患者行血浆Hcy（同型半胱氨酸）检测的作用。方法神经内科接收130例脑梗死患者，称为临床检测组。抽选健康体检者130例为对照研究人员，称为正常体检组。在入院次日且空腹12h时，于肘静脉采集血液5ml。经FPLA（荧光偏振免疫）检测Hcy。结果在临床检测组（130例）中，发生高Hcy的概率、Hcy水平都比正常体检组（130例）高，P约0.05。临床检测组的Hcy水平和治疗前对比，下降明显，P约0.05。倘若病情呈现加重趋势，Hcy水平就会上升，神经功能缺损显示分值会增高。各亚组（重型脑卒中、中型脑卒中、轻型脑卒中）间差异显著，P约0.05。结论脑梗死患者显示Hcy水平明显要比健康人群高，病情轻重和Hcy水平高低成正比，有效的治疗可使Hcy水平明显下降，Hcy水平是疗效观察、临床诊断的参考指标，临床作用很大。
目的：探討臨床對腦梗死患者行血漿Hcy（同型半胱氨痠）檢測的作用。方法神經內科接收130例腦梗死患者，稱為臨床檢測組。抽選健康體檢者130例為對照研究人員，稱為正常體檢組。在入院次日且空腹12h時，于肘靜脈採集血液5ml。經FPLA（熒光偏振免疫）檢測Hcy。結果在臨床檢測組（130例）中，髮生高Hcy的概率、Hcy水平都比正常體檢組（130例）高，P約0.05。臨床檢測組的Hcy水平和治療前對比，下降明顯，P約0.05。倘若病情呈現加重趨勢，Hcy水平就會上升，神經功能缺損顯示分值會增高。各亞組（重型腦卒中、中型腦卒中、輕型腦卒中）間差異顯著，P約0.05。結論腦梗死患者顯示Hcy水平明顯要比健康人群高，病情輕重和Hcy水平高低成正比，有效的治療可使Hcy水平明顯下降，Hcy水平是療效觀察、臨床診斷的參攷指標，臨床作用很大。
목적：탐토림상대뇌경사환자행혈장Hcy（동형반광안산）검측적작용。방법신경내과접수130례뇌경사환자，칭위림상검측조。추선건강체검자130례위대조연구인원，칭위정상체검조。재입원차일차공복12h시，우주정맥채집혈액5ml。경FPLA（형광편진면역）검측Hcy。결과재림상검측조（130례）중，발생고Hcy적개솔、Hcy수평도비정상체검조（130례）고，P약0.05。림상검측조적Hcy수평화치료전대비，하강명현，P약0.05。당약병정정현가중추세，Hcy수평취회상승，신경공능결손현시분치회증고。각아조（중형뇌졸중、중형뇌졸중、경형뇌졸중）간차이현저，P약0.05。결론뇌경사환자현시Hcy수평명현요비건강인군고，병정경중화Hcy수평고저성정비，유효적치료가사Hcy수평명현하강，Hcy수평시료효관찰、림상진단적삼고지표，림상작용흔대。
Objective To investigate the role of careful clinical nursing in preventing the complications of deep venous catheterization. Methods Fifty patients who underwent deep venous catheterization in the Internal Medicine Department of our hospital from February 2010 to March 2013 were selected for nursing evaluation. Results Standard aseptic operation, nursing for the site of puncture, close observation, good psychological nursing, and effective maintenance of central venous catheter like keeping the catheter unobstructed could reduce the rates of various complications and achieve good nursing effect. ConclusionEnhancing the nursing of patients undergoing deep venous catheterization can ensure the life and safety of patients, bring convenience to the treatment and nursing of severe cases, and effectively promote the recovery of patients, and careful nursing can effectively prevent the complications of deep venous catheterization.
