尿毒症合并心力衰竭患者的护理干预

目的：探讨连续性肾脏替代治疗（CRRD尿毒症合并心力衰竭患者的护理干预。方法：尿毒症合并心力衰竭的患者70例，分为治疗组连续性肾脏替代治疗（CRRT）38例，对照组常规血透（HD）32例，观察两组疗效和护理干预效果。结果：治疗组38例，显效10例（26．3％），有效18例（47．4％），无效10例（26．3％），总有效28例（73.3％）；对照组32例，显效5例（15．6％），有效11例（34．4％），无效16例（50．0％），总有效16例（50．0％）。治疗组总有效率明显高于对照组（Х^2=3．95，P〈0．05）。结论：连续性肾脏替代治疗尿毒症合并心力衰竭患者的护理干预能改善患者的心功能，提高其生活质量。

Nursing intervention of uremia patients complicated with heart failure

Objective： To study the nursing intervention of uremia patients complicated with heart failure by continuous renal replacement therapy （CRRT）. Methods： The 70 uremia patients complicated with heart failure were divided into two groups, the treatment group of CRRT 38 cases and the control group of conventional hemodialysis （HD） 32 cases. The efficacy and effectiveness of nursing intervention were observed. Results： In the 38 cases of treatment group, 10 cases had marked effect （28.3%）, 18 cases were effective （47.4%）, 16 cases （26.3%） without effect, the total efficiency was 73.3%; In the 32 cases of control group, There were 5 cases （15.6%） with marked effect, 11 cases （34.4%） with effect, 16 cases （50.0%） without effect, total efficiency was 50.0%; The total efficiency of treatment group were significantly higher than that control group（Х^2=3.95, P〈0.05）. Conclusion： Continuous renal replacement therapy in patients with uremia with heart failure care and intervention can improve the patient＇s heart function, improve their quality of life.