首页|免疫抑制剂联合护理干预治疗急性间质性肾炎的应用疗效及安全性

免疫抑制剂联合护理干预治疗急性间质性肾炎的应用疗效及安全性

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目的 分析免疫抑制剂联合护理干预治疗急性间质性肾炎的应用疗效及安全性.方法 选取浙江省立同德医院收治的76例急性间质性肾炎患者,随机分为实验组(n=38)与对照组(n=38).2组患者均进行营养支持等常规对症治疗,对照组给予免疫抑制剂治疗,给予泼尼松,口服,3次/天.实验组在对照组基础上进行相应的护理干预措施,为患者提供舒适的病房环境,做好健康教育与心理干预措施,积极与患者交流.结果 实验组治疗有效率为92.11%,显著高于对照组的78.95%,比较差异有统计学意义(P<0.05).治疗后,实验组患者24 h尿蛋白定量(0.32±0.17)g/24 h,血肌酐为(93.90±37.90)mg/24 h,均显著优于对照组,差异具有统计学意义(P<0.05).实验组血尿素氮与β2-MG均优于对照组,差异具有统计学意义(P<0.05).结论 免疫抑制剂联合护理干预治疗急性间质性肾炎应用疗效理想,且安全高,能够显著改善患者相关临床指标.
Evaluation of efficacy and safety of immunosuppressant combined with nursing intervention in the treatment of acute interstitial nephritis
Objective To analyze the efficacy and safety of combined immunosuppressive therapy and nursing intervention in the treatment of acute interstitial nephritis. Methods 76 patients with acute interstitial nephritis treated in Tongde hospital of Zhejiang Province were selected and divided into experimental group (n=38) and the control group (n=38) . The patients in the experimental group and the control group received routine symptomatic treatment such as nutritional support, and the control group was given immunosuppressive treatment. Prednisone was given orally 3 times a day. On the basis of this, the experimental group carried out the corresponding nursing interventions to provide comfortable ward environment for the patients, to do good health education and psychological intervention, and to communicate with patients actively. Results The effective rate of the experimental group was 92.11%, which was significantly higher than that of the control group (78.95%), which was statistically significant (P<0.05). After treatment, the urine protein of the patients in the experimental group was (0.32 ±0.17) g / 24 h, and the blood creatinine was (93.90 ± 37.90) mg / 24 h, were significantly better than that of the control group (P<0.05). The blood urea nitrogen and the β2-MG of the experimental group were better than those of the control group, the difference was statistically significant (P<0.05). Conclusion The application of immunosuppressant combined with nursing intervention in the treatment of acute interstitial nephritis is ideal, safe, and can significantly improve the related clinical indicators of patients.

immunosuppressive agentsnursing interventionacute interstitial nephritis

张莉萍、龚国琴

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浙江省立同德医院 肾病科,浙江 杭州 310012

免疫抑制剂 护理干预 急性间质性肾炎

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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