摘要
目的分析对尿毒症继发性甲状旁腺功能亢进症(以下简称为SHPT)患者采用甲状旁腺全切术+前壁自体移植术治疗后,给予围术期护理的效果。方法择取南京医科大学第一附属医院从2020年1月至2021年3月收治的90例SHPT患者作为本次研究对象,所有患者均采用甲状旁腺全切术+前臂自体移植术治疗,按照对所有患者选择护理方式不同进行分组,每组45例,将常规护理、围术期护理分别运用于对照组、观察组。比较两组临床各指标、并发症发生率。结果①比较两组临床各指标:与对照组比较,观察组iPTH、Ca、ALP均偏低,两组患者对比有统计学差异(P<0.05);②比较两组并发症发生率:与对照组比较,观察组并发症发生率低,两组患者对比有统计学差异(P<0.05)。结论针对尿毒症SHPT患者手术期间给予围术期护理,能够提高患者病情恢复速度,治疗效果显著。
Objective To analyze the effect of perioperative nursing on uremic patients with secondary hyperparathyroidism(SHPT)after totalTotal parathyroid resection+and anterior wall autotransplantation.Methods Ninety cases of SHPT patients in our hospital from January 2020 to March 2021 were selected as the research object.All patients were treated with total Total parathyroid resection+and forearm autograft.According to the different nursing methods,they were divided into two groups,45 cases in each group.The routine nursing and perioperative nursing were applied to the control group and the observation group respectively.Compare the clinical indicators and the incidence of complications between the two groups.Results①The clinical indexes of the two groups were compared:Compared with the control group,iPTH,Ca and ALP of the observation group were lower,and there was significant difference between the two groups(P<0.05);②The incidence of complications in the two groups was compared:Compared with the control group,the incidence of complications in the observation group was lower,and there was statistical difference between the two groups(P<0.05).Conclusion Perioperative nursing for patients with uremia SHPT during operation can improve the recovery speed of patients,and the treatment effect is significant.
作者
张晶
王玲
王雅杰
南夏
ZHANG Jing;WANG Ling;WANG Ya-jie;NAN Xia(The Second Ward of Nephrology Department,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210009)
出处
《智慧健康》
2021年第26期130-132,共3页
Smart Healthcare
