摘要
目的:探讨连续性肾脏替代治疗在急性肾功能衰竭伴MODS患者中的应用效果及护理经验。方法:对21例急性肾功能衰竭伴MODS患者进行连续性肾脏替代治疗。治疗后观察毒素的清除、电解质及酸碱平衡等指标。结果:本组患者治疗后尿素氮、血清肌酐、超敏C-反应蛋白、血钾、血氯、pH值均显著改善,治疗前后比较有统计学意义(P<0.05),血钠治疗前后比较无统计学意义(P>0.05),说明电解质及酸中毒均有不同程度的改善。结论:连续性肾脏替代治疗对抢救MODS等危重症起着积极有效的作用,同时采取积极有效的护理干预措施是保证患者安全、成功、高效达到连续性肾脏替代治疗目的的关键。
Objective： To investigate the application and nursing experience of continuous renal replacement treatment（CRRT） in acute renal failure patients with multiple organ dysfunction syndrome（MODS）.Methods：21 cases of acute renal failure patients with multiple organ dysfunction syndrome accepted CRRT,toxin removal,electrolyte and acid-base balance index were observed after therapy.Results：After treatment,urea nitrogen,serum creatinine,serum uric acid,C-reactive protein decreased significantly,serum potassium and blood sodium decreased,electrolyte disturbance and acidosis were improved to different degree.Conclusion：CRRT plays a positive and effective role in rescuing critically ill patients such as MODS.At the same time,taking active and effective nursing intervention is the key to ensure patient safety and achieving successful,efficient CRRT.
出处
《护理实践与研究》
2012年第20期76-78,共3页
Nursing Practice and Research
