Nursing of patients with chronic congestive heart failure treated with local renal nerve block
- VernacularTitle:局部肾神经阻滞治疗慢性充血性心力衰竭患者的护理
- Author:
Yong CHEN
;
Jimei SHEN
;
Qiming DAI
;
Genshan MA
- Publication Type:Journal Article
- Keywords:
Chronic congestive heart failure;
Nerve block;
Nursing
- From:
Chinese Journal of Practical Nursing
2008;24(28):12-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the nursing methods for patients with chronic congestive heart failure treated with local renal nerve block. Methods 10 cases of patients with chronic congestive heart failure were treated with renal nerve block. The blood and urine electrolytes, plasma neuroendocrine hor-mones, the 24-hour urine volume were measured before and after the renal nerve block to calculate the rate of excretion of urinary sodium. The changes of the heart rate and blood pressure and the improvement of the dyspnoea, swelling and other symptoms of heart failure were monitored continuously before and after the re-nal nerve block. Results There was a significant increase in the 24-hour urine volume and the rate of excretion of urinary sodium in the patients with heart failure after the renal nerve block (P<0.05),and there was a significant decrease in the amount of plasma neuroendocrine hormones after the renal nerve block (P<0.01);there was no signifieant changes in the heart rate and the average blood pressure with improvement of dyspnoea, swelling and other symptoms of heart failure. No significant complications were found. Conclusions The nursing measures taken by the nurses in the clinical application of local renal nerve block as a new treatment modality to the treatment of patients with chronic congestive heart failure are safe, effective and feasible.
