资源描述：
《老年血液透析患者低血压的原因分析及护理应对措施》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、老年血液透析患者低血压的原因分析及护理应对措施张亚真黄秀碧(福建医科大学附属漳州市医院福建漳州363000)【摘要】目的:分析老年患者在血液透析过程中出现低血压的病因以及护理干预措施。方法：选取2014年1月〜2015年12月我院收治的120例进行血液透析的老年患者，全体患者均接受常规血液透析，选用双醋酸空心纤维透析仪和碳酸氢盐透析液，血液透析前后检测患者体温、心率、血压等牛命体征，血透期间，密切监测患者血流量、脱水量、静脉压等，并根据血压测量结果计算平均动脉压。结果：患者血透期间低血压发牛率为23.
2、1%(835/3621),其中血透进行0.5—lh内,收缩压骤然下降≤90mmHg或平均动脉压较血透前下降30mmHg,共计420次。透析3h后发牛低血压共计1250次。超滤量≥3.5kg的情况下，低血压发牛920次。全体患者出现低血压症状后，经对症干预，1584次低血压均得以控制，并顺利复常，故治疗成功率为94.9%o86次经临床干预后，低血压症状无明显缓解，故只能终止血液透析，治疗失败率为5.1%,无1例死亡。结论：通过病因分析，患者采取、密切观察病情、控制患者超滤率、讲解相关知识、进
3、行心理护理等护理措施，可有效提高患者临床治愈效果。【关键词】老年患者；血液透析；低血压；护理【中图分类号】R473.5【文献标识码】B【文章编号】1007-8231(2016)09-0161-02CauseanalysisofhypotensioninelderlyhemodialysispatientsandnursingcountermeasuresZhangYazhen,HuangXiubi.ZhangzhouHospitalaffiliatedtoFujianMedicalUniversity
4、,363000,China【Abstract]ObjectiveToanalyzetheetiologyandnursinginterventionofhypotensioninelderlypatientsduringhemodialysis.MethodsJanuary20152014toDecember2007inourhospitaltreated120casesofhemodialysisinelderlypatients,allpatientsunderwentconventionalhe
5、modialysis,selectionofdiacetatehollowfiberdialysismachineandbicarbonatedialysateandbloodbeforeandafterdialysisdetectvitalsignsofthepatient'sbodytemperature,heartrate,bloodpressure,hemodialysisduringtheclosemonitoringofthepatient"sbloodflow,dehydration,v
6、enouspressureandsoon,andaccordingtothebloodpressuremeasurementstocalculatemeanarterialpressure.ResultsInpatientswithhemodialysishypotensionduringoccurreneerateof23.1%(835/3621),amongthemhemodialysis0.Systolicbloodpressuresuddenlydroppedlessthanorequalto
7、90mmHgormeanarterialpressurethanbeforehemodialysisdrop30mmhg.Atotalof420.Hypotensionoccurredafterdialysisfor1250timesatotaloftimes.Ultrafiltrationvolumewas3.5kgcases,hypotensionoccurred920times.Allthepatientswithlowbloodpressuresymptoms,aftersymptomatic
8、intervention,1584timesoflowbloodpressurewerecontrolled,andsmoothrehabilitation,thetreatmentsuccessratewas94.9%.86timesafterclinicalintervention,thesymptomsoflowbloodpressuredidnotsignificantlyease,itcanonlybeterminatedhemodialysi
