糖尿病肾病血液透析患者的临床特点及护理

目的：探讨糖尿病肾病透析患者的临床特点及护理对策.方法：选择40例糖尿病肾病及同期非糖尿病肾病血液透析患者,分别观察存活率、死亡原因、营养状况和并发症.结果：糖尿病肾病组1年和2年存活率较非糖尿病肾病组低（P〈0.05,P〈0.01）,主要死因为心血管病变和严重感染;糖尿病肾病组Alb和Hb较非糖尿病肾病组低,差别有统计学意义（P〈0.01,P〈0.01）;DN组血液透析中的并发症是低血压35%、低血糖35%和感染30%,与非糖尿病肾病组比较差别有统计学意义（P〈0.05,P〈0.01,P〈0.01）.结论：糖尿病肾病血液透析患者是一组高危人群,存活率低,营养状况差,应加强饮食指导;重视透析透析期间护理,降低透析中并发症的发生率,提高存活率和生活质量.

The nursing and clinical characteristics of hemodialysis patients with diabetic nephropathy

Objective：To explore the nursing and clinical characteristic of hemodialysis patients with diabetid nephropathy. Methods：40 patients with DN were enrolled in the study. 40 non-DN patients were enrolled as control group. During the Hemodialysis, the survival time, causes of death, condition of nutrition, complications were observed. Results：There was significant difference in one -year survival time and two-year survival time between the two groups（P〈0.05 ,P〈0.01）. The major causes of death were cardiovascular diseases and severe infection. The incidence of hypotention,hypoglycemia and infection in DN group was higher than in non-DN group（P〈0.05 ,P〈0.01 ,P〈0.01）. Conclusion：The DN patients have lower survival rate and higher incidence of complcations during hemodialvsis.