CAJ | 학술논문

目的：探讨针对性护理在动静脉内瘘血栓患者中的应用效果。方法选取本院2011年3月~2013年12月收治的50例动静脉内瘘血栓患者作为研究对象，均采用低分子肝素联合尿激酶进行治疗。将入选患者随机分为对照组与观察组，各25例。对照组采取传统护理措施进行临床干预，观察组在对照组的基础上采取针对性护理干预，比较两组的护理效果。结果观察组的血管再通率为80%，显著高于对照组的48%，差异有统计学意义(P<0.05)。观察组的不良反应发生率为12%，显著低于对照组的32%，差异有统计学意义(P<0.05)。结论针对性护理在动静脉内瘘血栓患者中的应用效果显著，能够降低不良反应发生率，提高护理效果，值得临床推广应用。
목적：탐토침대성호리재동정맥내루혈전환자중적응용효과。방법선취본원2011년3월~2013년12월수치적50례동정맥내루혈전환자작위연구대상，균채용저분자간소연합뇨격매진행치료。장입선환자수궤분위대조조여관찰조，각25례。대조조채취전통호리조시진행림상간예，관찰조재대조조적기출상채취침대성호리간예，비교량조적호리효과。결과관찰조적혈관재통솔위80%，현저고우대조조적48%，차이유통계학의의(P<0.05)。관찰조적불량반응발생솔위12%，현저저우대조조적32%，차이유통계학의의(P<0.05)。결론침대성호리재동정맥내루혈전환자중적응용효과현저，능구강저불량반응발생솔，제고호리효과，치득림상추엄응용。
Objective To explore the application effect of targeted nursing on patients with arteriovenous fistulas thrombosis. Methods 50 patients with arteriovenous fistulas thrombosis in our hospital from March 2011 to December 2013 were selected as the research object.All patients were treated with low molecular weight heparin combined with urokinase,and were randomly divided into the observation group and the control group,25 cases in each group.The con-trol group was given conventional nursing for clinical intervention,the observation group was given targeted nursing in-tervention on the basis of the control group.Nursing effect in two groups were compared. Results The vessel repass rate in the observation group was 80%,which was higher than 48% in the control group,significant difference (P<0.05).The incidence rate of adverse reaction in the observation group was 12%,which was lower than 32% in the control group, with significant difference (P<0.05). Conclusion The application effect of targeted nursing intervention on patients with arteriovenous fistulas thrombosis is significant,which can reduce the incidence rates of adverse reaction,enhance nursing effect,it is worthy of clinical promotion and application.