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目的:探讨和分析慢性肾衰血液透析并心律失常的临床治疗方法。方法:选取2011年1月到2013年10于为我院接受血液透析治疗时并发心律失常的慢性肾功能衰竭患者20例为研究对象,对上述选取对象临床特征及治疗方法进行整理和分析,同时依据患者实际年龄层次进行分组,观察不同年龄层次在血液透析时发生心律失常的差异性。结果:20例肾功能慢性衰竭患者共接受了206次血液透析治疗,其中发生心律失常41次,主要为窦性心动过缓、室性早搏二联律、心房颤动、室性早搏、室上性心动过速、室上性早搏等;不同年龄段的患者,在接受血液透析时,发生心律失常的几率不一,对比差异有统计学意义(P<0.05),心律失常的发生率且随着患者年龄增长,心律失常的发生率也随之增长。结论:临床上在对慢性肾功能衰竭患者给予血液透析治疗时,应加强对心律失常的防治,这对降低心律失常发生率,改善患者预后,提升生活质量有着积极的意义,值得临床医师重视。
Objective: To investigate and analyze the clinical treatment of chronic renal failure with hemodialysis and arrhythmia. Methods: Twenty patients with chronic renal failure who suffered from arrhythmia when hemodialysis was treated in our hospital from January 2011 to 2013 10 were selected as the research object. The clinical characteristics and treatment of the above selected subjects were summarized and analyzed. Meanwhile, The patients were divided into groups according to the actual age group to observe the differences of arrhythmia occurred during hemodialysis in different age groups. Results: 20 cases of chronic renal failure patients received 206 hemodialysis patients, including arrhythmia 41 times, mainly sinus bradycardia, premature ventricular contractions premature beats, atrial fibrillation, premature ventricular contractions, supraventricular Tachycardia, supraventricular premature beats and so on; patients of different ages, the risk of arrhythmia when hemodialysis is different, the difference was statistically significant (P <0.05), the incidence of arrhythmia and with Patients age, the incidence of arrhythmia also will increase. Conclusion: In the clinical treatment of patients with chronic renal failure hemodialysis treatment, should strengthen the prevention and treatment of arrhythmia, which reduce the incidence of arrhythmias, improve patient prognosis and improve the quality of life has a positive meaning, it is worth clinicians attention.