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find Keyword "肾功能" 77 results
  • Analysis of Etiological Factor for 139 Cases of Acute Renal Failure

    目的:探讨住院患者急性肾功能衰竭(ARF)的临床病因方法:回顾性分析139例ARF患者的临床资料,探讨其病因、肾衰类型及危险因素。结果:139例ARF患者中,肾前性90例,肾性37例,肾后性12例。其中,60岁以上的老年人73例,占52.5%。引起ARF的根本病因中,感染、心衰及创伤为引起ARF的主要病因。结论:注意有效血容量不足的症状及体征、及时扩容及控制感染可以减少ARF的发生。同时,60岁以上老年人仍是高危人群,应重在预防。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • Research on the Impact of Quality Care on the Treatment for Early Chronic Renal Failure Patients

    【摘要】 目的 探讨开展优质护理服务对早期慢性肾功能衰竭患者治疗的影响。 方法 将2009年9月-2010年6月收治的80名早期慢性肾功能衰竭患者,随机分成对照组和试验组,每组各40例。试验组实施优质护理服务,对照组按常规护理,半年后采用自测健康评定量表(SRHMS V1.0)对患者进行问卷调查,从而了解和评判优质服务对早期慢性肾功能衰竭患者治疗的影响及效果。 结果 试验组在器官功能、日常生活功能、生理健康子量表总分3个维度,在负向情绪、正向情绪、认知功能、心理健康子量表总分4个维度,在角色活动、社会健康子量表总分2个维度与对照组比较,差异均有统计学意义(Plt;0.05),在社会支持和社会资源方面与对照组的差异无统计学意义(Pgt;0.05)。 结论 开展优质护理服务能明显提高患者治疗疾病的信心,对有效控制患者病情发展有一定的影响与作用。【Abstract】 Objective To investigate the impact of quality care on early chronic renal failure patients.  Methods Eighty patients in early stages of chronic renal failure in our department between September 2009 and June 2010 were randomly divided into the control group and the experimental group with 40 patients in each group. Quality and Conventional care were implemented on the two groups respectively. Six months later, self-rated health measurement scale (SRHMS V1.0) was used to analyze the impact of quality care on the patients. Results The results of the measurement showed that there were significant differences between the two groups in organ function, daily life function, physiologic health, negative emotion, positive emotion, cognitive ability, psychological health, role activity and social health (Plt;0.05). There were no significant differences between them in social support and social resources. Conclusion Carrying out high-quality care can significantly improve the active treatment confidence of the patients and can effectively control the development of the disease.

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • The research and application advances of medical imaging techniques in early renal function assessment of chronic kidney disease

    Chronic kidney disease (CKD) is now recognized as a worldwide public health challenge, and the incidence rate and hospitalization rate have significantly increased in recent years. Without prompt diagnoses and effective treatment in the early renal function damage of CKD, the symptoms will continue to worsen and eventually develop into end-stage renal disease. Functional imaging techniques such as single photon emission computed tomography (SPECT), contrast-enhanced ultrasound (CEUS), computerized tomography perfusion (CTP), and magnetic resonance perfusion weighted imaging (MR-PWI) could be used to quantitatively analyze renal perfusion and renal filtration function. Their diagnostic values are increasingly evident and have become the research hotspot in evaluating renal function. The aim of this review is to briefly evaluate the research and application advances in the early renal function damage assessment of CKD, so as to raise the efficiency of clinical applications.

    Release date:2019-06-17 04:41 Export PDF Favorites Scan
  • Hepatic and Renal Insufficiency Induced by Intravenous Injection with Amiodarone: A Case Report and Literature Review

    【摘要】 目的 报道1例静脉滴注胺碘酮致肝肾功能不全患者。 方法 2010年10月收治1例扩张性心肌病患者,治疗过程中使用胺碘酮注射液,导致严重的肝肾功能不全。系统查阅中国期刊全文数据库及外文数据库Pubmed、Embase建库至2011年8月关于胺碘酮致肝肾功能不全的相关文献,进行静脉胺碘酮致肝肾功能不全的可能性评估,探索胺碘酮静脉滴注致肝功能不全的的作用机制。 结果 根据查阅文献结果分析,此患者静脉注射胺碘酮致肝功不全的可能性高,Naranjo概率评分分别为7分。 结论 提出临床医师和临床药师应进行胺碘酮静脉的药学监护,高度的重视胺碘酮相关的不良反应,从而及时识别和防治胺碘酮所致肝肾功能不全,减少其不良预后。【Abstract】 Objective To report a case of hepatic and renal insufficiency induced by intravenous injection with amiodarone, and to evaluate the possibility of the adverse drug reaction. Methods A patient with dilated cardiomyopathy was admitted in October, 2010. During the procedure, the use of amiodarone hydrochloride injection made the patient suffer from liver and kidney dysfunction. We retrieved the literatures about liver and kidney toxicity of amiodarone from CNKI, Pubmed, and Embase (from the establishment of the databases to November 2011). We also ssessed the possibility of the adverse drug reaction, discussed the mechanism of amiodarone-induced hepatic insufficiency. Results According to the literature, There was a great possibility of hepatic insufficiency induced by amiodarone, and the total score of the Naranjo probability score was 7. Conclusion It is important to pay more attention to the pharmaceutical care of amidarone to timely recognize and effectively prevent or treat hepatic and renal insufficiency induced by intravenous injection with amiodarone.

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 腹水回输加黄芪治疗肝硬化失代偿期患者肾功能改善效果

    目的 观察腹水回输腹腔加黄芪注射液治疗对肝硬化失代偿期伴腹水患者肾功能的改善情况。 方法 2006年3月-2008年5月住院的肝硬化失代偿期伴腹水、并有肾功能损害患者89例。随机分为两组,治疗组45例采取腹水超滤浓缩腹腔回输,同时给予黄芪注射液静脉滴注20 mL/d,常规保肝、利尿、支持治疗;对照组44例在常规保肝、利尿、支持治疗的同时间断放腹水。观察两组患者尿量、尿素氮和肌酐的情况。 结果 治疗前两组患者尿量、尿素氮和肌酐无明显差异,治疗后,治疗组患者尿量增加,血清尿素氮,肌酐下降,与对照组比较有差异。 结论 腹水超滤浓缩腹腔回输加静脉滴注黄芪注射液,能够明显改善肝硬化伴肾功能损害患者的肾功能。

    Release date:2016-09-08 09:47 Export PDF Favorites Scan
  • NUTRITIONAL TREATMENT OF ACUTE RENAL FAIUSR AFER BILIARY (TRACT) SURGERY (A REPORT OF 7 CASES)

    Experienc of nurtitional treatment to 7 patients with acute renal failure (ARF) and nitrogemia after biliarty (tract) surgery is reported in this article. Nittrogen source inn all cases was obtained from "Renal Amine" and "7% Vamin" etc,which are composed of 8 essential amino acids (EAA), and the nergery sources are mainly supplyed by Intralipid (20 or 10%) and suitable amount of glucose. The nutritional admicture of "all in one" were employed as parenteral nutrition (PN). Satisfactary curative effecs in these patients were obtained. The suthors consider that (a) the nutritional treatment of different casuses of ARF should be providing enough energy and more EAA requirments than in normal need to synthesizw non-essential amino acide (NEAA) and protein from excessive blood urea nitrogen (BUN) for redcuing pritein breakdown and nitrogemia, and (b) 20% Intralipid is an effective low-volume, highly calories nutritional agent specially in ARF patients with restiction of waterr.

    Release date:2016-08-29 04:26 Export PDF Favorites Scan
  • Effect of Proteinuria on Residual Renal Function in Peritoneal Dialysis Patients

    ObjectiveTo observe whether proteinuria is relate to the decline of residual renal function (RRF) in peritoneal dialysis (PD) patients. MethodsThis is a prospective cohort study including 45 PD patients (underwent PD between January 2011 and January 2013) with a 12-month follow-up. All the patients were divided into 2 groups with respect to the initial proteinuria level: massive proteinuria group A (n=20) and non-massive proteinuria group B (n=25) at baseline. We established regression models to do univariate analysis and multivariate analysis of the relationship between the decline of RRF≥50% of baseline and the indices of age, sex, PD-associated peritonitis, baseliner residual glomerular filtration rate (rGFR), initial proteinuria, and use of ACEI/ARB. ResultsThe primary outcome (RRF>50% of baseline) at 12 months was 65% in group A, and 80% in group B (P<0.05). Based both on the results of univariate and multivariate Cox regression analysis, non-massive proteinuria and higher rGFR at baseline were factors to protect RRF from decline (P<0.05). ConclusionThe study demonstrates that massive proteinuria and lower rGFR at baseline may be associated with a rapid decline of RRF in PD patients. Treatment aimed at reducing albuminuria may lead to protect RRF and improve life quality of patients.

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  • The Effect of Simvastatin in Patient with Chronic Renal Insufficiency MOU Hong,CHEN Tong,HE Long

    目的:研究羟甲戊二酰辅酶A还原酶抑制剂辛伐他汀治疗慢性肾功能不全的临床疗效。方法:选择慢性肾功能衰竭患者共40例,随机分成两组,在原有基础治疗上治疗组20例患者予以辛伐他汀治疗,对照组20例单纯以基础治疗,在24周时监测TC、TG、24 h尿蛋白、Scr、BUN、C-反应蛋白的值。结果:与治疗前相比,两组TC、TG、24 h尿蛋白、Scr、BUN、C-反应蛋白均明显下降,与对照组相比,治疗组血脂有显著下降(P<0.01)而且24h尿蛋白、Scr、BUN、C-反应蛋白均明显下降(P<0.05)。结论:辛伐他汀能降低蛋白尿,延缓慢性肾功能不全的进展

    Release date:2016-09-08 10:14 Export PDF Favorites Scan
  • 连续性血液净化治疗蜂蜇伤致急性肾功能衰竭的临床观察与护理体会

    目的:观察连续性血液净化(CBP)治疗蜂蜇伤致急性肾功能衰竭(ARF)的疗效分析及护理体会。方法:回顾2005~2007 年蜂蜇伤致急性肾功能衰竭17例,采用连续性静静脉血液滤过(CVVH)方式进行治疗,从存活率、治愈率及肾功能恢复时间等多个方面比较CVVH治疗蜂蜇伤致肾功能衰竭是否具有优越性,从护理角度总结CVVH过程中护理的经验和作用。结果:患者治疗前APACHE评分差异无统计学意义。(1)CVVH:17 例患者早期行持续性静静脉血液滤过,CVVH治疗1~4次,总治疗时间(38.6±14.8)h,情况稳定后给予间歇性血液透析(间歇性血液透析)治疗。16例患者好转出院,1例患者死亡。⑵在CVVH治疗过程中严密监测生命体征、液体管理、预防出血、预防感染、血管通路的护理是CVVH治疗护理重点。结论:早期CVVH可能有利于患者受损器官功能的恢复,缩短患者的住院时间。在CVVH治疗过程良好的护理和密切的观察是保证CVVH顺利进行的重要保障。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
  • Perioperative renal function in patients undergoing heart transplantation versus left ventricular assist device implantation: A retrospective cohort study

    ObjectiveTo compare the perioperative renal function changes in patients undergoing heart transplantation (HT) and left ventricular assist device (LVAD) implantation. MethodsPatients with end-stage heart failure who underwent surgical treatment at Beijing Anzhen Hospital, Capital Medical University from January 2019 to April 2024 were included. According to the surgical method, patients were divided into a HT group and a LVAD group, and the estimated glomerular filtration rate (eGFR) of patients before surgery and postoperative 1, 7, 30, 60 days was compared between the two groups. The patients with preoperative renal dysfunction were subdivided into subgroups for comparison of eGFR changes before surgery and 30 days after surgery between the two groups. ResultsA total of 112 patients were enrolled. There were 78 patients in the HT group, including 61 males and 17 females, aged (44.42±18.51) years. There were 34 patients in the LVAD group, including 30 males and 4 females, aged (54.94±11.37) years. Compared with the HT group, the average age of patients in the LVAD group was greater (P<0.001), body mass index was higher (P=0.008), preoperative eGFR was lower (P=0.009), and the proportions of smokers (P=0.017), alcohol drinkers (P=0.041), and diabetes mellitus (P=0.028) patients were higher. Among patients with preoperative renal dysfunction [eGFR<90 mL/(min·1.73 m2)], compared with the HT group, the postoperative eGFR of the LVAD group was significantly higher than that of the HT group, and it was significantly increased compared with that before surgery; the postoperative eGFR of the HT group was comparable to that before surgery, and more than half of the patients had a lower eGFR than before surgery. Among patients with preoperative renal dysfunction, 11 patients in the HT group received continuous renal replacement therapy, and 8 died early; 2 patients in the LVAD group received continuous renal replacement therapy, and 1 died early. ConclusionFor end-stage heart failure patients with combined renal dysfunction, compared with HT, LVAD implantation enables patients to obtain better renal function benefits.

    Release date:2024-11-27 02:45 Export PDF Favorites Scan
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