糖尿病肾病维持性血液透析长期留置导管护理分析.docVIP

糖尿病肾病维持性血液透析长期留置导管护理分析 　　DOI：10.16658/j.cnki.1672-4062.2017.05.174 　　[摘要] 目的 对糖尿病肾病维持性血液透析长期留置导管的护理方法进行探讨分析，以期帮助降低并发症发生概率。方法 对该院2013年3月―2017年1月收治的21例长期留置静脉导管进行维持性血液透析的糖尿病肾病患者进行观察统计，并分析患者的实际病症而情况制定科学合理的护理对策。结果 21例患者中有1例并发导管处血管感染，于抗生素药物干预后得到及时控制；有2例导管处血栓形成，致使血流不畅，用药后缓解；其余18例均可持续使用，预估寿命可为20～48个月。结论 通过成功置管、严格无菌操作等各个环节过程的精心护理，可保证糖尿病肾病维持性血液透析患者得以长期顺利留置导管，而且正确做好日常护理是有效防止长期留管并发症的重要措施，也是延长导管的长期使用寿命的关键，并且促进提高患者血液透析后的生存质量。 　　[关键词] 糖尿病肾病/维持性血液透析/长期留置导管 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）03（a）-0174-02 　　Analysis of Nursing of Long-term Catheter Indwelling of Diabetic Nephropathy Sustained Hemodialysis 　　JI Yong-mei 　　Department of Medical Oncology， Jurong People’s Hospital， Jurong， Jiangsu Province， 212400 China 　　[Abstract] Objective To study and analyze the nursing method of long-term catheter indwelling of diabetic nephropathy sustained hemodialysis in order to reduce the occurrence probability of complications. Methods 21 cases of patients with diabetic nephropathy sustained hemodialysis by long-term indwelling catheter in our hospital from March 2013 to January 2017 were observed and counted and the scientific and rational nursing strategies were made according to the practical diseases of patients. Results Of 21 cases of patients， there was 1 case with catheter infection， and obtained the timely control after the antibacterial drugs intervention， and there were 2 cases with catheter thrombosis causing the unsmooth flow of blood， and relieved after medication， and the other 18 cases were used continuously for 20 months to 48 months. Conclusion The careful nursing of successful catheter indwelling and strict sterile operation can ensure the long-term and successful catheter indwelling of patients with diabetic nephropathy sustained hemodialysis， and the accurate daily nursing is an important measure of effective and long-term prevention of catheter indwelling complications and the key to prolonging the long-term use of catheter， and it is conducive to