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老年多发性骨髓瘤患者血浆置换的应用及护理干预

The effect about plasma exchange to elderly patients with multiple myeloma
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摘要 目的:探讨老年多发性骨髓瘤患者化疗前进行血浆置换的效果及护理干预对生存质量的影响。方法:25例老年多发性骨髓瘤患者进行双路开放、置换液与血浆等速交换,全程护理密切观察不良反应并及时采取相应措施,回顾性分析总结。结果:血浆置换能快速降低患者体内的球蛋白水平,从(9.2±2.0)g/L下降至(4.2±2.0)g/L,且不适症状明显改善。结论:血浆置换可降低血浆M蛋白浓度降从而增强患者对化疗的耐受性,护理干预有助于减轻或避免不良反应发生,提高患者的舒适度和生活质量。 Objective: To study the effect about plasma exchange to elderly patients with multiple myeloma.Methods: 25 cases were built two lines for exchanging between mixtured solution and plasma.Watched carefully and relevant measures were taken by nurses entire process.Results: The level of globulin about patients with multiple myeloma dropped quickly from(9.2±2.0) g/L to(4.2±2.0) g/L as well as unwell to be relieved obviously post-exchanged.Conclusion: Plasma exchange can decrease these patients' M protein to enhance their tolerance to chemotherapy.Nursing intervention can avoid or reduce side effect made patients comfort and improve their quality of life.
出处 《河南医学研究》 CAS 2011年第2期229-230,共2页 Henan Medical Research
关键词 血浆置换 多发性骨髓瘤 老年 住院患者 护理 plasma exchange multiple myeloma the elderly inpatient nursing
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