慢性肾功能衰竭血液透析患者皮肤瘙痒原因及护理对策.docxVIP

慢性肾功能衰竭血液透析患者皮肤瘙痒原因及护理对策 Causes of Skin Pruritus in Patients with Chronic Renal Failure during Hemodialysis and Nursing Countermeasures MI Yuan-yuan （Department of Blood Purification，Tianjin Haibin Peoples Hospital，Tianjin *****，China） Abstract：Objective To analyze the cause of skin pruritus and nursing countermeasures in patients with chronic renal failure during hemodialysis. Methods The clinical data of 56 patients with chronic renal failure who underwent hemodialysis with skin itching in our hospital from March 2018 to March 2019 were selected， the causes of skin itching were analyzed， and targeted nursing countermeasures for complications were given. Efficiency， comparing itching scores before and after nursing. Results Of the 56 patients， 34 had electrolyte metabolism disorders， accounting for 60.71%; 17 cases had nitrogen metabolites stimulating the skin， accounting for 30.35%， and 5 cases were allergic reactions， accounting for 8.92%; after symptomatic care， the total effective rate was 91.07% ; The score of pruritus symptoms after nursing was （2.11±0.33） points， which was lower than that before nursing （3.77±0.18） points，the difference was statistically significant （P0.05）.Conclusion Skin pruritus is a common complication in chronic renal failure patients with hemodialysis. It is mainly related to electrolyte metabolism disorders， nitrogen metabolites stimulating the skin， and allergic reactions. Targeted nursing measures are given clinically， the total treatment efficiency is high， and the symptoms of itching are significantly reduced . Key words：Chronic renal failure;Hemodialysis;Skin itching;Nursing countermeasures 慢性腎功能衰竭（chronic renal failure，CRF）是由于各种慢性肾脏疾病病情不断进展，肾功能不断恶化发展形成的一种临床综合征。血液透析是临床治疗常用手段，虽然可一定程度延长患者生存时间，但是容易出现多种并发症，严重影响患者的治疗依从性和生活质量。皮肤瘙痒是慢性肾功能衰竭血液透析患者常见的并发症，且随着透析时间延长瘙痒加重，如果临床治疗及护理不当，容易造成皮肤感染，严重威胁患者的生命安全。本研究结合2021年3月～2021年3月在我院进行血液透析合并皮肤瘙痒的56例慢性肾功能衰竭患者临床资料，分析瘙痒原因，并总结针对性护理对策，以期为临床慢性肾功能衰竭血液透析患者皮肤瘙痒的护理提供参考，现报道如下。 1