Clinical features and nursing of cardiovascular disease in patients with peritoneal dialysis
10.3760/cma.j.issn.1674-2907.2009.08.001
- VernacularTitle:腹膜透析患者心血管病变的临床特点与护理
- Author:
Gui-Lan LV
1
;
Jiong ZHANG
;
Rong FAN
;
Yan ZHOU
;
Yu-Sheng YU
Author Information
1. 南京军区南京总医院
- Keywords:
Peritoneal dialysis;
Nephrosis;
Renal insufficiency;
Cardiovascular system;
Nursing
- From:
Chinese Journal of Modern Nursing
2009;15(8):701-704
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical features of cardiovascular disease before dialysis in patients with end-stnge renal disease and receiving peritoneal dialysis (PD), in order to provide evidence for judging the prognosis and mastering the emphasis of nursing observation. Methods The informations of 165 patients with end-stage renal disease who underwent PD were analyzed retrospectively. The patients were divided into the diabetic nephrosis group (Group DN) and the non-diabetic nephrosis group (Group non-DN) according to whether the patients had diabetes or not. The patients were divided into the left ventricular hypertrophy group (Group LVH) and the non-left ventricular hypertrophy group (Group non-LVH) according to whether the left ventricular was hypertrophic or not. The ultrasonic examination of the heart and the examination of related laboratory indexes were conducted one week before the treatment. Results The groups had obvious cardiac disease before dialysis. The major exhibitions included left atrial hypertrophy, left ventricular hypertrophy and interventricular septum hypertrophy. Wherein the injury of heart in Group DN was more serious, and the cardiothoracic ratio and the left atrial dimension obviously enlarged. The proportion of hypertension in Group DN was higher than that in Group non-DN, and the levels of hemoglobin and blood albumin were significantly lower than those in Group non-DN (P<0.05). Conclusions The index changes of the cardiovascular system of PD patients should be inspected, especially those elderly patients with the primary disease of DN. The nursing intervention measures should be adopted early so as to prevent the occurrence of cardiovascular complications in good time.
