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[1]洪 霞,陈 仙,曾兴业,等.对血液透析患者抽搐的预防和护理研究[J].医学研究与战创伤救治(原医学研究生学报),2014,16(02):163-165，170.[doi:10.3969/j.issn.1672-271X.2014.02.016]
　HONG Xia,CHEN Xian,ZENG Xing-ye,et al.Prevention and nursing of convulsions in hemodialysis patients[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(02):163-165，170.[doi:10.3969/j.issn.1672-271X.2014.02.016]
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对血液透析患者抽搐的预防和护理研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年02期
页码:
163-165，170
栏目:
出版日期:
2014-03-20

文章信息/Info

Title:
Prevention and nursing of convulsions in hemodialysis patients
作者:
洪 霞1; 陈 仙1; 曾兴业1; 潘若望1; 黄大道1; 胡素勤2
325000 浙江温州，解放军113医院118临床部，1.外一科，2.护理部
Author(s):
HONG Xia1; CHEN Xian1; ZENG Xing-ye1; PAN Ruo-wang1; HUANG Da-dao1; HU Su-qin2.
1.The first Surgery Department,2.Nursing Department,118 Clinical Branch,113 Hospital of PLA,Wenzhou,Zhejiang 325000,China
关键词:
血液透析; 抽搐; 预防; 护理
Keywords:
hemodialysis; convulsions; prevention; nursing
分类号:
R692.5;R459.5
DOI:
10.3969/j.issn.1672-271X.2014.02.016
文献标志码:
A
摘要:
目的 探讨对血液透析患者抽搐的预防方法和护理。方法 将128例血液透析的患者采用随机数字表法分为A、B、C、D四组，每组32例，A组在患者出现口唇发麻时，给予 10%葡萄糖酸钙20 ml缓慢静脉推注；B组、C组和D组分别在血液透析2.5 h、3 h、3.5 h常规给予5%葡萄糖250 ml+10%葡萄糖酸钙20 ml，从透析通路输入。结果 在血液透析2.5 h给 予5%葡萄糖250 ml+10%葡萄糖酸钙20 ml预防患者抽搐的效果明显。B组患者抽搐的发生率明显少于其他三组(P＜0.05)。结论 对于血液透析的患者进行全面的评估，及早做好预防 措施，是预防血液透析的并发症和不良反应的发生，保证血液透析治疗效果的关键。
Abstract:
Objective To investigate the prevention method of convulsion in hemodialysis patients.Methods We randomly assigned 128 hemodialysis patients into 4 groups (A,B,C and D group),with 32 cases each group.Patients in group A were immediately given 20 ml 10% calcium gluconate by slow intravenous injection when emerging of numb lips.While patients in group B,C and D were received an intravenous infusion with 250 ml 5% glucose injection plus 20 ml 10% calcium gluconate 2.5 h,3 h and 3.5 h after hemodialysis,respectively.Results The method of immediate intravenous infusion with 250 ml 5% glucose injection plus 20 ml 10% calcium gluconate 2.5 h after hemodialysis exhibits obvious effects of convulsive prevention in hemodialysis patients.The convulsion incidence of group B was significantly less than the other three groups (P<0.05).Conclusion The comprehensive assessment and early preventive measures for the hemodialysis patients is key to prevent complications and adverse reactions,which can also ensure better therapeutic effects.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2014-03-20