水化治疗联合护理干预对老年患者行冠状动脉造影术后肾功能影响

摘要

Objective:To study and analyze the effects of rehydration therapy combined with nursing intervention on the renal function of elderly patients undergoing coronary angiography.Method:150 elderly patients who achieved coronary angiography in our hospital from January 2013 to January 2015 were selected and divided into the control group and the study group.The control group was given routine treatment and nursing,while the control group was given rehydration therapy and nursing intervention.The incidence rate of contrast-induced nephropathy and the levels of serum creatinine at different times were compared between the two groups.Result:The incidence rate of contrast-induced nephropathy and the levels of serum creatinine at different times after operation in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The risk of coronary angiography in elderly patients is high,it can affect renal function of patients.Rehydration therapy combined with nursing intervention can protect the kidney,improve renal function and reduce the incidence of contrast-induced nephropathy.It is worthy of clinical popularization and application.%目的：研究分析老年患者行冠状动脉造影术后采用水化治疗联合护理干预对肾功能的影响。方法：选取2013年1月-2015年1月于本院行冠状动脉造影术的150例患者作为研究对象，根据随机化分组原则分为对照组与研究组，其中对照组采用常规治疗及护理，研究组在对照组基础上采用水化治疗及护理干预。比较两组造影剂肾病发生率以及不同时间血肌酐水平。结果：研究组造影剂肾病发生率及术后不同时间段血肌酐水平均低于对照组，比较差异均有统计学意义（P<0.05）。结论：老年患者行冠状动脉造影术危险性高，能够影响患者肾功能，水化治疗联合护理干预能够保护肾脏，改善肾功能，降低造影剂肾病的发生率，值得临床广泛推广应用。