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.

目的探讨多种无痛技术在妇产科门诊手术中临床应用的效果。方法将我院2001年9月至2006年9月800例自愿要求应用各种无痛技术实施妇科门诊手术的患者分为3组,分别采用静脉麻醉(Ⅰ组)、宫颈注射(Ⅱ组)和宫颈表面浸润(Ⅲ组)等无痛技术,对照组无麻醉要求300例(Ⅳ组),观察各组临床镇痛效果、宫口松弛程度、手术时间、术中术后出血等情况。结果Ⅰ组镇痛效果显著,有效率100%,Ⅱ组镇痛效果良好,有效率77%,Ⅲ组镇痛有效率54%,Ⅳ组无镇痛效果,各镇痛组与对照组比较差异有统计学意义(P<0.05),Ⅰ组与Ⅱ组、Ⅲ组比较差异有统计学意义(P<0.05);Ⅱ组与Ⅲ组比较差异有统计学意义(P<0.05)。各镇痛组手术时间、术中出血量、术后1周复查阴道出血量等与Ⅳ组比较差异均有统计学意义(P<0.05),Ⅰ组、Ⅱ组、Ⅲ组,各组之间比较差异无统计学意义(P>0.05)。结论Ⅰ组镇痛效果显著,但对麻醉管理要求较高;Ⅱ组优于Ⅲ组,Ⅱ组和Ⅲ组镇痛效果满意,方法简便易行,安全可靠,有推广价值。