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目的总结复方α-酮酸片联合优质低蛋白饮食治疗慢性肾脏病的护理。方法选取2014年1月-2016年6月收治的76例慢性肾脏病患者为研究对象,随机分为对照组和观察组各38例,2组患者均给予复方α-酮酸片(4片/次,3次/d)、优质低蛋白饮食[0.6g/(kg·d),3次/d]。对照组给予常规护理,观察组在对照组基础上加强护理干预。比较2组临床治疗效果、血肌酐和尿微量白蛋白值及护理满意度。结果观察组治疗效果好于对照组(Z=-1.981,P=0.048)。治疗后,2组患者血肌酐、尿微量白蛋白均降低,且观察组低于对照组(t=3.218,P=0.002;t=6.722,P<0.001)。观察组护理满意度高于对照组(Z=-2.558,P=0.011)。结论复方α-酮酸片联合优质低蛋白饮食治疗慢性肾脏病患者,加强患者用药、心理及生活护理干预,有助于提高治疗效果,改善患者的肾功能。
Objective To summarize the nursing of treating chronic kidney disease with compound α-ketoacid tablets and high quality and low protein diet. Methods A total of 76 patients with chronic kidney disease admitted from January 2014 to June 2016 were selected and randomly divided into control group and observation group, with 38 cases in each group. The patients in both groups were given compound α-ketoacid tablets (4 tablets / Times, 3 times / d), high-quality low protein diet [0.6g / (kg · d), 3 times / d]. The control group was given routine care, and the observation group strengthened the nursing intervention on the basis of the control group. The clinical effects, serum creatinine and urinary albumin and nursing satisfaction were compared between the two groups. Results The observation group was better than the control group (Z = -1.981, P = 0.048). After treatment, serum creatinine and urine microalbumin were decreased in both groups, and the observation group was lower than the control group (t = 3.218, P = 0.002; t = 6.722, P <0.001). The nursing satisfaction of the observation group was higher than that of the control group (Z = -2.558, P = 0.011). Conclusion Compound α-ketoacid tablets combined with high-quality low-protein diet in the treatment of chronic kidney disease patients, strengthening patient medication, psychological and life care interventions, help to improve the therapeutic effect and improve the patient’s renal function.