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find Keyword "肾功能衰竭" 34 results
  • Research on the Impact of Quality Care on the Treatment for Early Chronic Renal Failure Patients

    【摘要】 目的 探讨开展优质护理服务对早期慢性肾功能衰竭患者治疗的影响。 方法 将2009年9月-2010年6月收治的80名早期慢性肾功能衰竭患者,随机分成对照组和试验组,每组各40例。试验组实施优质护理服务,对照组按常规护理,半年后采用自测健康评定量表(SRHMS V1.0)对患者进行问卷调查,从而了解和评判优质服务对早期慢性肾功能衰竭患者治疗的影响及效果。 结果 试验组在器官功能、日常生活功能、生理健康子量表总分3个维度,在负向情绪、正向情绪、认知功能、心理健康子量表总分4个维度,在角色活动、社会健康子量表总分2个维度与对照组比较,差异均有统计学意义(Plt;0.05),在社会支持和社会资源方面与对照组的差异无统计学意义(Pgt;0.05)。 结论 开展优质护理服务能明显提高患者治疗疾病的信心,对有效控制患者病情发展有一定的影响与作用。【Abstract】 Objective To investigate the impact of quality care on early chronic renal failure patients.  Methods Eighty patients in early stages of chronic renal failure in our department between September 2009 and June 2010 were randomly divided into the control group and the experimental group with 40 patients in each group. Quality and Conventional care were implemented on the two groups respectively. Six months later, self-rated health measurement scale (SRHMS V1.0) was used to analyze the impact of quality care on the patients. Results The results of the measurement showed that there were significant differences between the two groups in organ function, daily life function, physiologic health, negative emotion, positive emotion, cognitive ability, psychological health, role activity and social health (Plt;0.05). There were no significant differences between them in social support and social resources. Conclusion Carrying out high-quality care can significantly improve the active treatment confidence of the patients and can effectively control the development of the disease.

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • 急性肾功能衰竭预后相关因素分析

    【摘要】目的 探讨急性肾功能衰竭(ARF)的年龄分布、病因、临床类型、治疗对策和预后。 方法 2003年1月-2009年10月住院ARF患者266例,将临床资料进行回顾性分析。 结果 <15岁者4例,无死亡;15~39岁66例,死亡2例;40~59岁91例,死亡13例;>60岁者105例,死亡33例。肾前性113例,死亡36例,肾实质性139例,死亡12例,肾后性14例,无死亡。少尿型101例,死亡22例;非少尿型165例,死亡26例。接受血液净化治疗107例,死亡18例;激素或免疫抑制剂治疗者67例,死亡9例;对症治疗92例,死亡21例。 结论 随年龄增加ARF患病率增加,病死率亦增加; 肾实质性ARF居首位,其次为肾前性;少尿型病死率高于非少尿型,血液净化可降低病死率,明确病理类型,及时激素或免疫抑制剂治疗,可改善预后。

    Release date:2016-09-08 09:31 Export PDF Favorites Scan
  • Development of Liver Transplantation of Severe Hepatitis

    Release date:2016-09-08 11:49 Export PDF Favorites Scan
  • Experimental Research of Renal Aquaporin-3 Expression in Obstructive Jaundice

    ObjectiveTo explore the value of Aquaporin-3 (AQP-3) on the detection of early renal function damage by investigating the expressions of renal AQP-3 mRNA and protein of rats with obstructive jaundice (OJ). MethodsForty mature male Wistar rats were divided into two groups randomly: experimental group (n=20) in which the model of OJ rats was established, and control group (n=20, sham operation group). The levels of serum total bilirubin (TBIL), direct bilirubin (DBIL), creatinine (Cr), and blood urea nitrogen (BUN) were detected by fullautomatic biochemical analyzer on 7 d and 14 d after operation. The expressions of renal AQP-3 mRNA and protein of rats were detected by RT-PCR and Western blotting, respectively. ResultsThe levels of serum TBIL and DBIL were significantly higher on 14 d than those on 7 d after operation in experimental group (P=0.000), which were significantly higher than those at corresponding time point in control group (P=0.000), while the difference within control group was not significant (P=0.154). Thus, the OJ models of rats were established successfully. The difference of serum Cr levels of rats between inter-and intragroup were not significant (Pgt;0.05). Serum BUN level on 14 d after operation in experimental group was significantly higher than those on 7 d after operation in experimental group and on 14 d after operation in control group (P=0.001), although serum Cr levels were not different between 7 d and 14 d after operation in control group (P=0.288). The expressions of AQP-3 protein of rats on 7 d and 14 d after operation in experimental group were significantly lower than those at corresponding time point in control group (P=0.033, P=0.000), meanwhile on 14 d after operation in experimental group was significantly lower than those on 7 d after operation in experimental group (P=0.000). The expressions of AQP-3 mRNA of rats on 7 d and 14 d after operation in experimental group were significantly higher than those at corresponding time point in control group (P=0.000), but the difference at different time point in two groups was not significant (P=0.139, P=0.059). ConclusionsThe changes of renal AQP-3 protein and mRNA expressions are prior to the changes of serum Cr and BUN levels of rats suffered from OJ complicated renal function damage, which are promised to improve the early diagnosis rate of renal function damage in rats with OJ.

    Release date:2016-09-08 10:45 Export PDF Favorites Scan
  • 体外循环心脏手术后急性肾功能衰竭的肾脏替代治疗

    目的 探讨体外循环(CPB)心脏手术后急性肾功能衰竭(ARF)的发生原因及肾脏替代治疗的方法,总结其治疗经验。 方法 回顾性分析我院2004年2月至2008年2月14例体外循环心脏手术后发生急性肾功能衰竭患者的临床资料,所有患者除常规治疗外,分别给予持续血液滤过1例、血液透析5例、腹膜透析7例。 结果 14例患者中死亡7例,其中5例死于多器官功能衰竭,1例死于低心排血量综合征,1例死于腹膜透析并发败血症。余7例经肾脏替代治疗8~39 d肾功能恢复,治愈出院。生存的7例患者随访1~48个月,肾功能无明显异常,尿素氮4.16±3.19 mmol/L(2.96±8.18 mmol/L),肌酐56±16 μmol/L(55~89 μmol/L)。 结论 急性肾功能衰竭是体外循环心脏手术后严重并发症之一,死亡率较高。采取适当的预防措施可减少该并发症的发生,血液滤过、血液透析及腹膜透析是有效的肾脏替代治疗方法。

    Release date:2016-08-30 06:05 Export PDF Favorites Scan
  • Treatment for Peritoneal Dialysis-Associated Peritonitis

    目的:探讨腹膜透析相关性腹膜炎的治疗。方法:回顾性分析的89例腹膜透析相关性腹膜炎患者,初期使用头孢菌素和或氨基糖甙类抗生素治疗,严重者使用头孢唑林和头孢他啶治疗。结果:89例腹膜炎患者透析液培养阳性33例(37.1%),其中19例1~4d治愈(21.3%),56例4~14 d治愈(62.9%),复发11例(12.4%),2例因尿毒症而全身衰竭死亡(2.2%)。结论:虽然腹膜透析相关性腹膜炎的发病率有降低趋势,但其仍然是腹膜透析最常见并发症之一,我们在强调对腹膜炎治疗的同时,更要强调对腹膜炎的预防。

    Release date:2016-09-08 10:01 Export PDF Favorites Scan
  • 以急性肾功能衰竭为首发表现的恶性淋巴瘤一例

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  • Clinical Features and Prognosis of Patients with Acute Renal Failure

    【摘要】 目的 总结急性肾功能衰竭(acute renal failure, ARF)的病因特点、治疗情况与预后的关系。 方法 回顾性分析2007年8月-2008年4月77例ARF的临床资料,总结各种因素与患者预后的关系。 结果 肾性因素是最主要的致病病因,占77.92%,其中以药物和中毒居多。老年患者、少尿型患者或合并多脏器功能衰竭患者病死率较高,分别为25.93%,29.55%,83.33%。 结论 ARF应早期诊断,积极给予综合治疗,包括肾脏替代治疗,老年ARF患者易出现多脏器功能衰竭、合并感染等,应放宽透析指征,并注意去除高危因素以提高存活率。【Abstract】 Objective To explore the clinical features, treatment, and prognosis of acute renal failure (ARF). Methods The clinical data of 77 patients with ARF from Auguest 2007 to April 2008 were retrospectively analyzed. Results Renal factor was the most important cause of ARF, accounting for 77.92%. The mortalities of elderly patients, oliguric patients and with multiple organ failure were 25.93%, 29.55%, and 83.33%, respectively. Conclusion Patients with ARF should be diagnosed as early as possible and given comprehensive treatments, including renal replacement therapy; the elderly patients with multiple organ failure and infection should be relaxed dialysis indications. We should pay attention to the removal of risk factors to improve the survival rate.

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • Analysis of Etiological Factor for 139 Cases of Acute Renal Failure

    目的:探讨住院患者急性肾功能衰竭(ARF)的临床病因方法:回顾性分析139例ARF患者的临床资料,探讨其病因、肾衰类型及危险因素。结果:139例ARF患者中,肾前性90例,肾性37例,肾后性12例。其中,60岁以上的老年人73例,占52.5%。引起ARF的根本病因中,感染、心衰及创伤为引起ARF的主要病因。结论:注意有效血容量不足的症状及体征、及时扩容及控制感染可以减少ARF的发生。同时,60岁以上老年人仍是高危人群,应重在预防。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • 创伤性主动脉夹层并发肾功能衰竭一例

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