改善低蛋白血症患者血浆白蛋白浓度的护理研究

目的　探讨有效改善低蛋白血症患者血浆白蛋白浓度的护理措施。方法　运用配对设计研究法 ,对 30例低蛋白血症患者进行配对研究 ,在医嘱应用人血白蛋白治疗过程中 ,对观察组患者进行饮食干预和改变输液顺序 ,观察每对患者的血浆白蛋白浓度变化值 ,进行统计学分析比较。结果　 2组患者治疗前、后血浆白蛋白浓度比较 (P <0 .0 0 1,P <0 .0 1) ,差异有显著性 ;但血浆总蛋白浓度比较 ,观察组明显改善 (P <0 .0 0 1) ,对照组差异无显著性 (P >0 .0 5 ) ;每对患者治疗前、后血浆白蛋白及总蛋白浓度的增长值比较 ,观察组明显高于对照组 (P <0 .0 1,P <0 .0 5 ) ,差异有显著性。结论　饮食干预与输液顺序的调整有助于提高血浆白蛋白和总蛋白水平。

Clinical nursing study on elevation of plasma albumen level on hypoalbuminemia patients

Objective To investigate nursing methods on elevation of plasma albumen level on hypoalbuminemia patients. Methods Paired study was carried on 30 hypoalbuminemia patients. Diet intervention and adjustment of sequence of fluid were carried on observation group when albumen were given to the patient. Serum albumen level were observed and analyzed. Results Albumin level increased significantly after albumin infusion in both groups (P<0.001, P<0.01), while total protein level increased in observation group (P<0.001) but had no change in control group (P>0.05). Extent of albumin elevation and total protein elevation was significantly greater in observation group than in control group (P<0.01, P<0.05). Conclusion Diet intervention and adjustment of sequence of fluid may have some help in elevation of plasma albumen level on hypoalbuminemia patients during albumin infusion therapy.