摘要
目的探讨慢性肾衰竭患者甲状旁腺切除术患者的临床护理要点。方法选取2018年9月至2019年9月在我院进行甲状旁腺切除术的40例慢性肾衰竭患者作为研究对象,回顾性分析患者术前以及术后1周、术后1个月、术后3个月、术后6个月以及术后12个月时患者临床表现改善情况、血钙磷、ALP、iPTH水平变化情况、贫血情况、PG变化情况以及并发症发生情况。结果患者骨痛、皮肤瘙痒症状较手术前明显改善(P<0.05),患软组织钙化、骨折/畸形、身高缩小的患者术后较手术前情况相比,虽有降低但组间差异无统计学意义,P>0.05。术后各阶段患者血钙、血磷水平比较差异无统计学意义,P>0.05,血iPTH与术前具有较大差异,P<0.05;患者术后12个月Hb、Hct与术前相比明显升高,TG与术前相比明显降低,P<0.05;术后患者均出现低血钙,2例患者出现喉返神经损伤情况,但无呼吸困难以及吞咽障碍等症状,经对症处理后均有所好转。患者在入院接待、入院宣教、服务态度、答疑解惑、住院环境方面评分均超过85分,护理质量较好。患者护理后焦虑抑郁评分显著低于护理前,P<0.05。结论对慢性肾衰竭患者甲状旁腺切除术患者采取优质护理可有效改善患者临床各项指标情况,降低并发症发生率,提高临床疗效,值得临床推荐与使用。
Objective To investigate the clinical nursing of patients with chronic renal failure with parathyroidectomy.Methods Forty patients with chronic renal failure who underwent parathyroidectomy in our hospital from September 2018 to September 2019 were retrospectively analyzed.The clinical performance improvement,serum calcium and phosphorus,ALP,iPTH levels,anemia,PG changes and complications before surgery,1 week after surgery,1 month after surgery,3 months after surgery,6 months after surgery and 12 months after surgery were retrospectively analyzed.Results The symptoms of bone pain and skin pruritus were significantly improved compared with those before surgery(P<0.05).The patients with soft tissue calcification,fracture/deformity and height reduction after surgery were lower than those before surgery,but there was no significant difference between the groups,P>0.05.The difference of blood calcium and phosphorus in the patients after operation was not statistically significant,P>0.05.The difference between blood iPTH and preoperative was statistically significant,P<0.05.The difference was statistically significant,compared with that of 12 months after operation,TG was significantly lower than that before operation,P<0.05.The patients had lower blood calcium,but no dysphagia and dysphagia in 2 cases.Such symptoms,after symptomatic treatment have improved.The patients scored more than 85 points in hospital admission,admission education,service attitude,answering questions,and hospitalization environment,and the quality of care was good.The anxiety and depression score of patients after nursing was significantly lower than that before nursing,P<0.05.Conclusion Taking high-quality nursing care for patients with chronic renal failure can effectively improve the clinical indexes,reduce the incidence of complications and improve the clinical efficacy,which is worthy of clinical recommendation and use.
作者
王明华
WANG Minghua(Department of Hemodialysis Center,Xinhua Hospital Affiliated to Dalian University,Dalian 116000,China)
出处
《中国医药指南》
2022年第17期140-142,共3页
Guide of China Medicine
