加强水化预防介入治疗并发造影剂肾病的护理

目的探讨加强水化疗法对预防心血管疾病介入治疗并发造影剂肾病(RCIN)的必要性及护理。方法回顾分析358例接受冠状动脉造影加支架病人的临床资料。结果358例病人中356例水化成功(99.44%),仅2例发生造影剂肾病。结论心血管疾病介入治疗病人在造影前后加强水化,特别是术后静脉补液及严格监测尿量可有效预防RCIN的发生。

Nursing Care of Rehydration therapy to Prevent Radiocontrast Induced Nephropathy after Interventional Therapy

Objective To investigate the necessity and nursing care of rehydration therapy to prevent patients with cardiovascular vessel disease from the radiocontrast induced nephropathy after the interventional therapy.Methods The clinical data of 358 patients with coronary angiography and stent placement who had received rehydration therapy through offering oral administration and intravenous fluid infusion were analyzed retrospectively.Results Only 2 patients erupt simultaneously the radiocontrast induced nephropathy. The rate of success of rehydration therapy was 99.44% (356/358).Conclusions The rehydration therapy should be strengthened around coronary angiography in the cardiovascular vessel disease patients with interventional therapy. The postoperative intravenous fluid infusion and strictly urine amount monitoring can effectively prevent from the radiocontrast induced nephropathy.