中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
24期
124-126
,共3页
造影剂肾病%水化治疗%临床护理路径%老年人
造影劑腎病%水化治療%臨床護理路徑%老年人
조영제신병%수화치료%림상호리로경%노년인
Contrast induced nephropathy%Hydration treatment%Clinical pathway of nursing%Elderly patients
目的：探讨以临床路径的工作模式实施综合性护理干预在水化治疗预防造影剂肾病中的作用，以提高老年冠心病患者水化治疗的依从性。方法将2013年1~12月住院行冠状动脉造影、冠状动脉CT成像检查介入诊疗的≥65岁冠心病患者60例均纳入研究对象，以临床路径的工作模式在水化治疗中实施综合性护理干预。观察患者水化治疗的依从性。结果60例患者，在应用造影剂后48 h，患者肾功能明显受损，肌酐清除率下降，差异有统计学意义(P<0.05)。造影后5 d肾功能较48 h明显恢复(P<0.05)，但仍未达到造影前水平。全部患者按要求完成水化治疗，患者的依从性为100%。结论按临床路径实施综合性护理干预落实水化治疗方案，提高了患者水化治疗的依从性，有助于防治造影剂肾病。
目的：探討以臨床路徑的工作模式實施綜閤性護理榦預在水化治療預防造影劑腎病中的作用，以提高老年冠心病患者水化治療的依從性。方法將2013年1~12月住院行冠狀動脈造影、冠狀動脈CT成像檢查介入診療的≥65歲冠心病患者60例均納入研究對象，以臨床路徑的工作模式在水化治療中實施綜閤性護理榦預。觀察患者水化治療的依從性。結果60例患者，在應用造影劑後48 h，患者腎功能明顯受損，肌酐清除率下降，差異有統計學意義(P<0.05)。造影後5 d腎功能較48 h明顯恢複(P<0.05)，但仍未達到造影前水平。全部患者按要求完成水化治療，患者的依從性為100%。結論按臨床路徑實施綜閤性護理榦預落實水化治療方案，提高瞭患者水化治療的依從性，有助于防治造影劑腎病。
목적：탐토이림상로경적공작모식실시종합성호리간예재수화치료예방조영제신병중적작용，이제고노년관심병환자수화치료적의종성。방법장2013년1~12월주원행관상동맥조영、관상동맥CT성상검사개입진료적≥65세관심병환자60례균납입연구대상，이림상로경적공작모식재수화치료중실시종합성호리간예。관찰환자수화치료적의종성。결과60례환자，재응용조영제후48 h，환자신공능명현수손，기항청제솔하강，차이유통계학의의(P<0.05)。조영후5 d신공능교48 h명현회복(P<0.05)，단잉미체도조영전수평。전부환자안요구완성수화치료，환자적의종성위100%。결론안림상로경실시종합성호리간예락실수화치료방안，제고료환자수화치료적의종성，유조우방치조영제신병。
Objective To study the effect of comprehensive nursing intervention and clinical pathway of nursing on preventing contrast induced nephropathy by hydration treatment in elderly patients with CAD to improve the patients’compliance. Methods 60 elderly patients with CAD aged more than 65 from January to December 2013 were enrolled and treated with comprehensive nursing intervention of hydration treatment by clinical pathway of nursing before and after coronary arteriography and CTA, respectively. The hydration treatment compliance were observed. Results Creati-nine clearance rate of 60 patients was significant reduced and renal function was damaged within 48 h after contrast administration (P<0.05). Renal function was recovered obviously at 5 days compared within 48 h afer contrast admin-istration (P< 0.05), but it was not as good as baseline. All patients received hydration treatment and the compliance rate was up to 100%. Conclusion Comprehensive nursing intervention in hydration treatment by clinical pathway of nursing can improve patients’compliance to hydration treatment, which is helpful for prevention and treatment of con-trast induced nephropathy.
