医药与保健
醫藥與保健
의약여보건
MEDICINE AND HEALTH CARE
2015年
1期
10-11
,共2页
造影剂%肾功能%肾病%并发症
造影劑%腎功能%腎病%併髮癥
조영제%신공능%신병%병발증
contrast media%renal function%nephropathy%complications
目的：探讨冠脉介入造影剂对不同肾功能患者的影响，并分析围术期水化疗法整体护理对造影剂肾病(CIN)的治疗效果。方法将838例接受冠状介入患者作为观察对象，根据术前肾功能将患者分为539例肾功能正常的A组及299例肾功能不全的B组，对比两组术后24小时内CIN的发生率。同时随机将A组分为A1组与A2组，将B组B1组与B2组。A1组及B1组围术期接受水化常规护理，而A2及B2组围术期接受水化整体护理。分别对比A1组与A2组及B1组与B2组治疗前后肾功能变化情况。结果B组CIN发生率18.00％，明显高于A组的4.60％(P<0.05)。同时A1组与A2组间及B1组与B2组间术前血清肌酐（Cr）及尿素氮（BUN）比较未见统计学差异，而术后24h后，A2组Cr及BUN升高明显低于A1组，B2组Cr及BUN升高同样明显低于B1组(P<0.05)。结论肾功能不全者接受冠脉介入造影后更易发生CIN，而整体化水化疗法护理可有效的改善患者术后肾脏功能。
目的：探討冠脈介入造影劑對不同腎功能患者的影響，併分析圍術期水化療法整體護理對造影劑腎病(CIN)的治療效果。方法將838例接受冠狀介入患者作為觀察對象，根據術前腎功能將患者分為539例腎功能正常的A組及299例腎功能不全的B組，對比兩組術後24小時內CIN的髮生率。同時隨機將A組分為A1組與A2組，將B組B1組與B2組。A1組及B1組圍術期接受水化常規護理，而A2及B2組圍術期接受水化整體護理。分彆對比A1組與A2組及B1組與B2組治療前後腎功能變化情況。結果B組CIN髮生率18.00％，明顯高于A組的4.60％(P<0.05)。同時A1組與A2組間及B1組與B2組間術前血清肌酐（Cr）及尿素氮（BUN）比較未見統計學差異，而術後24h後，A2組Cr及BUN升高明顯低于A1組，B2組Cr及BUN升高同樣明顯低于B1組(P<0.05)。結論腎功能不全者接受冠脈介入造影後更易髮生CIN，而整體化水化療法護理可有效的改善患者術後腎髒功能。
목적：탐토관맥개입조영제대불동신공능환자적영향，병분석위술기수화요법정체호리대조영제신병(CIN)적치료효과。방법장838례접수관상개입환자작위관찰대상，근거술전신공능장환자분위539례신공능정상적A조급299례신공능불전적B조，대비량조술후24소시내CIN적발생솔。동시수궤장A조분위A1조여A2조，장B조B1조여B2조。A1조급B1조위술기접수수화상규호리，이A2급B2조위술기접수수화정체호리。분별대비A1조여A2조급B1조여B2조치료전후신공능변화정황。결과B조CIN발생솔18.00％，명현고우A조적4.60％(P<0.05)。동시A1조여A2조간급B1조여B2조간술전혈청기항（Cr）급뇨소담（BUN）비교미견통계학차이，이술후24h후，A2조Cr급BUN승고명현저우A1조，B2조Cr급BUN승고동양명현저우B1조(P<0.05)。결론신공능불전자접수관맥개입조영후경역발생CIN，이정체화수화요법호리가유효적개선환자술후신장공능。
Objective On patients with coronary intervention contrast agents for different renal function, and analysis of perioperative hydration therapy of overall nursing in the treatment of contrast nephropathy (CIN).Methods To 838 patients who underwent coronary intervention in patients as research object, according to the preoperative renal patients divided into 539 cases of normal renal function in group A and group B, 299 cases of renal insufficiency, compared two groups the incidence of CIN in 24 hours after surgery. At the same time A set of random divided into A1 and A2 group, group B group B1 and B2. A1 and B1 group perioperative accept hydration routine nursing care, and A2 and B2 received perioperative hydration holistic nursing. Respectively compared to the group of A1 and A2 and B1 and B2 group renal function changes before and after the treatment.Results Group B the incidence of CIN was 18.00%, significantly higher than the 4.60%of the group A (P<0.05). Between A1 and A2 group and between B1 and B2 group preoperative serum creatinine (Cr) and urea nitrogen (BUN) was no statistical difference, and after 24 h after surgery, A2 set of Cr and elevated BUN was lower than that in group A1, B2 Cr and BUN increased significantly lower than the same B1 group (P<0.05).Conclusion Renal insufficiency who accept are more likely to happen after coronary intervention imaging CIN, integrative hydration therapy and nursing can effectively improve the patients postoperative renal function.
