维持性血液透析患者继发性甲状旁腺功能亢进相关因素分析及护理

Analysis and Nursing of Secondary Hyperparathyroidism in Maintenance Hemodialysis Patients
Feng Xiao-dong1, Shang Hong2, Han Xue-ying3*
(1. Department of hepatobiliary surgery, General Hospital of Shenyang military command, Shenyang, Liaoning, China; 2. The first sanatorium of Shenyang,Shenyang, Liaoning, China; 3. Nursing department, Shenyang military region , Shenyang Liaoning, China)
世界最新医学信息文摘 2017 年第 17 卷第析患者继发性甲状旁腺
功能亢进相关因素分析及护理
冯晓东 1，尚宏 2，韩雪莹 3*
（1. 沈阳军区总医院肝胆外科，辽宁 沈阳；2. 沈联第一干休所，辽宁 沈阳；3. 沈阳军区护理部，辽宁 沈阳）
摘要：目的：研究分析维持性血液透析患者继发性甲状旁腺功能亢进相关因素 , 探讨并对应护理方法。方法：2012年6月至 2016年6月期间，选择在本院进行维持性血液透析的患者106例作为研究对象，收集所有研究对象的临床资料，并根据患者 甲状旁腺素水平分为观察组和对照组，观察组50例患者甲状旁腺素水平不低于300pg/ml，对照组56例甲状旁腺素水平低 于300pg/ml，对比观察组与对照组的临床资料，分析继发性甲状旁腺功能亢进相关因素，并对临床护理措施进行探讨。结 果：患者年龄、糖尿病、脉压、透析时间、Cr、CRP、P、TG、Alb、钙磷乘积是继发性甲状旁腺功能亢进的相关因素，有统计学 意义（P<0.05）；透析时间、糖尿病、CRP、P 是维持血液透析患者继发甲状旁腺功能亢进的独立危险因素，有统计学意义 （P<0.05）。结论：维持性血液透析患者继发性甲状旁腺功能亢进相关因素较多，包括年龄、是否患糖尿病、透析时间、脉压、 Cr、CRP、P、等，临床上需对患者予以针对性的护理，积极做好心理、饮食、血液透析、用药等护理，维持患者机体各项指标 正常，以减少并发症的发生。 关键词：维持性血液透析；继发性甲状旁腺功能亢进；相关因素；护理 中图分类号：R473 文献标识码：A DOI:10.3969/j.issn.1671-3141.2017.06.007
ABSTRACT: Objective: To study the analysis of maintenance hemodialysis patients with secondary hyperparathyroidism related factors, explore and corresponding nursing methods. Methods: In June 2012 to June 2016, choose in maintenance hemodialysis patients at our hospital in 106 as the research object, to collect all the clinical data of the object of study, and according to the patients with parathyroid hormone levels can be divided into observation group and the control group and observation group of 50 cases of patients with parathyroid hormone level is not lower than 300 pg/ml and the control group of 56 cases of parathyroid hormone levels below 300 pg/ml, contrast observation group and control group in clinical data, analysis of secondary hyperparathyroidism associated factors, and clinical nursing measures were discussed. Results: The patients’ age, diabetes, pressing of arteries and veins, dialysis time, Cr, CRP, P, TG, propagated and the calcium-phosphorus product are associated factors of secondary hyperparathyroidism, was statistically significant (P<0.05); Dialysis time, diabetes, CRP, P is maintaining hemodialysis patients with secondary hyperparathyroidism, an independent risk factor, with statistical significance (P<0.05). Conclusion: Maintenance hemodialysis patients with secondary hyperparathyroidism related factors, including age, diabetes, dialysis time, pressing of arteries and veins, Cr, CRP, P, etc. , that need to be targeted to patients with clinical nursing, completes the psychological, diet, and hemodialysis, medication nursing, maintain the body each index is normal, in order to reduce the occurrence of complications. KEY WORDS: Maintenance hemodialysis;Secondary hyperparathyroidism;Relevant factors; Nursing