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目的对血液透析与血液灌流联合应用于尿毒症患者治疗中的效果和相关护理措施进行分析。方法选取2015年5月至2016年7月宿州市第一人民医院收治的68例尿毒症患者作为研究对象,随机划分为对照组与观察组,每组各34例。对照组患者采用单一血液透析治疗方法,观察组患者采用血液透析与血液灌流联合治疗方法,观察所有患者的临床治疗效果,提出相关护理措施。结果在治疗前2组患者的甲状旁腺激素(PTH)比较,差异无统计学意义(P>0.05);在治疗后观察组患者的PTH值为(14.85±3.87)mol/L,对照组为(20.46±4.23)mol/L,观察组低于对照组,差异有统计学意义(P<0.05)。对于临床症状改善情况,观察组患者食欲不振、皮肤瘙痒和骨痛症状的改善情况均优于对照组,差异有统计学意义(P<0.05);2组患者高血压症状的改善情况比较,差异无统计学意义(P>0.05)。结论在尿毒症患者的治疗中,血液透析与血液灌流联合应用,有助于临床治疗效果的提高,同时辅以有效的护理措施,可以帮助患者缓解皮肤瘙痒、淀粉样变,改善睡眠,提高食欲等。
Objective To analyze the effect of hemodialysis combined with hemoperfusion on the treatment of uremic patients and related nursing measures. Methods Sixty-eight uremic patients admitted to First People’s Hospital of Suzhou City from May 2015 to July 2016 were selected as study subjects and randomly divided into control group and observation group with 34 cases in each group. Patients in the control group received a single hemodialysis treatment. Patients in the observation group were treated by hemodialysis and hemoperfusion. The clinical effects of all the patients were observed and relevant nursing measures were proposed. Results There was no significant difference in parathyroid hormone (PTH) between the two groups before treatment (P> 0.05). After treatment, the PTH value of the observation group was (14.85 ± 3.87) mol / L, while the control group was (20.46 ± 4.23) mol / L, the observation group was lower than the control group, the difference was statistically significant (P <0.05). The improvement of clinical symptoms, observation group patients with loss of appetite, skin itching and bone pain symptoms were better than the control group, the difference was statistically significant (P <0.05); two groups of patients with hypertension to improve the situation, the difference No statistical significance (P> 0.05). Conclusions In the treatment of uremic patients, hemodialysis and hemoperfusion combined application will help to improve the clinical treatment effect, supplemented by effective nursing measures can help patients relieve skin itching, amyloidosis, improve sleep, improve appetite Wait.