摘要
目的:观察61例肝硬化失代偿期腹水超滤浓缩回输前后的疗效变化,及有无明显的不良反应。方法:左下腹穿刺抽出,右下腹穿刺超滤浓缩回收,两管通过超滤腹水浓缩回收仪相连接。用系统回顾总结的方法,对围手术前后的护理给予评价。结果:61例患者通达106次超滤浓缩回收,总有效率达到76.6%,腹围从术前的(92.36±8.43)cm降到(84.59±3.00)cm;体重从术前的(62.60±1.50)kg减到(58.19±3.22)kg;24h尿量从(567.02±65.90)ml增加到术后的(887.39±32.27)ml,t值分别为8.94、1.78、14.21,P值依次为<0.01、>0.05和<0.01。结论:在术前认真细致地准备,围术期加强专科护理,腹水超滤浓缩回收对肝硬化失代偿期患者减轻腹内压、缩短治疗周期,对提高患者的生活质量是有效的。
Objective： To investigate the efficacy of transfusion of ultrafihrated and concentrated self-ascites in 61 patients with hepatic cirrhosis. Methods： Left lower quadrant abdominal puncture out, right lower quadrant abdominal puncture ultrafihration concentration and recovery, two tube through the uhrafihration ascites concentration and recovery instrument connected. Used system review method, the before and after the perioperative care to give evaluation. Results： Compared to pre-operation, abdominal eircumferance and body weight redused from （92.36±8.43） cm to （84.59±3.00） em and （62.60± 1.50） kg to （58.19±3.22） kg respectively. The Urine volume of 24 hours increased from （567.02-±65.90） mL to （887.39±32.27） ml, t value was 8.94, 1.78, 14.21, P value was 〈0.01, 〉0.05 and 〈0.01. Conclusion： Carefully earnestly in preoperative preparation, perioperative strengthening the subject of the care, ascites ultrafihration concentration and recovery of cirrhosis of the liver decompensation of reduce intra-abdominal pressure, shorten the patient treatment cycle, to improve the quality of life of the patients is effective.
出处
《中国当代医药》
2011年第36期98-99,共2页
China Modern Medicine
关键词
肝硬化
腹水
浓缩回输
护理
Heaptic cirrosis
Ascites
Enrichment back to lose
Nursing
