目的 研究强化护理管理模式对维持性血液透析(MHD)患者液体平衡的影响.方法 在2015年6月—2017年9月这个时间段中取材并开展该次研究,所选取MHD患者总计80例,抽取其中40例患者使用传统护理管理,将其划分为对照组,余下的40例患者接受强化护理管理,将其划分为观察组.结果 观察组中体重增加量合格的患者数量与对照组进行比较明显较多,完成血液透析脱水量平均值合格的患者数量与对照组进行比较也明显较多,观察组中血压达标的患者数量以及出现充血性心力衰竭的患者数量与对照组进行比较也明显更优,患者对于强化护理管理的认可情况也明显较好(P<0.05).结论 强化护理管理模式的落实,各类护理事故的发生得到有效控制,完成血液透析MHD患者的脱水量也控制在安全的范围内,不良病症的发生也得到有效控制,给患者提供了安全保障,得到较多患者的认可.

本文阐述了一种主要由防回流管和锥形浮体组成的逆向阻流器的设计过程，并采用FLUENT软件模拟了输液管中出现血液回流时逆向阻流器中的流场。模拟计算结果显示，逆向阻流器中的压力场分布有利于浮体的移动，当浮体的密度与流体的密度一致时，流体对浮体的轴向作用力能够推动浮体移动并贴紧输液管内壁，从而达阻流目的。模拟结果表明，该装置可应用于输液器中，防止血液回流。

目的:观察温肾化瘀汤加减治疗原发性痛经的临床疗效.方法:将确诊病例采用温肾化瘀汤加减治疗,水煎服,1日1 剂,2 周为1 疗程.结果:痊愈 8例,显效7例,有效 5例,无效0例,有效率为 100%.结论:温肾化瘀汤加减治疗原发性痛经疗效可靠,值得临床推广应用.

月经病是妇科的多发病,中医认为凡月经的周期,经期,经量等发生改变,以及伴随月经周期出现明显不适症状的疾病,称为月经病.月经病发生的主要机理是脏腑功能失调,气血不和,导致冲任二脉的损伤.其病因除外感邪气、内伤七情、房劳多产、饮食不节之外,尚须注意身体素质对月经病发生的影响,因此,女性要改变自己的健康状况就要正确的看待自己的问题,要用正确的科学的方法解决自已的问题.本文主要阐述女性月经病与“痰”的关系及中医如何对该疾病的调理治疗,然后总结中医在治疗妇女月经病的好处.

Objective To observe the effect of hemodialysis (HD) with hemoperfusion (HP) in the treatment of uremic pruritus in clinical application, summarize the therapeutic nursing measures, improve the technological level of care. Method of maintenance hemodialysis in a uremic patient 80 cases, divided into two groups randomly, the series group 40 cases, the dialyzer and perfusion (HA130) series of treatment; 40 cases in the control group, simple hemodialysis, treatment of 2~3 times a week. The series group of go ahead of the rest of hemoperfusion combined with hemodialysis, 2 hours after taking the hemoperfusion and hemodialysis for 2 hours only, 8 weeks after the two groups were observed in patients with skin pruritus score changes. Results The HD series HP after treatment in 40 patients with skin itching symptoms were able to reduce, but simply hemodialysis group of skin itching without obvious improvement. Conclusion HD series HP therapy on uremic pruritus effectively, to improve the management level of HP HD series, nurses should keep learning new knowledge, new theory, be good at summing up experience, reduce the HD +HP treatment of adverse reaction and nursing problem.

目的 总结终末期糖尿病肾病(DN)病人在维持血液透析过程中发生低血糖的原因及护理干预措施.方法 回顾性分析52例终末期糖尿病肾病病人维持血液透析的临床资料,对其低血糖的发生原因进行分析,对护理干预措施进行总结,对干预效果进行评价.结果 本组52例DN病人,干预前2600例次血液透析中发生低血糖反应121例次(4.7%),干预后2600例次血液透析中发生低血糖反应58例次(2.2 %).结论 根据患者血糖情况正确合理使用胰岛素,加强血液透析过程中血糖监测,注重饮食护理、药物调整等干预措施能够有效预防血液透析过程中低血糖的发生.

Objective To study the successional vein dialysis on acute renal injury with multiple organ dysfunction syndrome.Methods The APACHEII score and renal function of 45 patients with renal injury with multiple organ dysfunction syndrome treated with successional vein dialysis were analyzed.Results The fatality rate was 24.4%,which was related to the age,APACHEII score,urea nitrogen and serum creatinine.Conclusion Renal injury with multiple organ dysfunction syndrome has high fatality rate,whose key of treatment is complex therapy with early successional vein dialysis.