李明 徐秀娥

[摘要] 目的 探讨选择综合护理方法对妊娠高血压综合征伴有急性肾功能衰竭患者加以干预的可行性。方法 方便选择该院2015年12月—2017年10月收治的90例妊娠高血压综合征伴有急性肾功能衰竭患者作为实验对象;选择数字奇偶法分组;研究合并症护理方式期间，对照组（45例）：选择基础护理方式完成合并症临床护理;观察组（45例）：选择基础护理方式+综合护理方式完成合并症临床护理;最终就两组妊娠高血压综合征伴有急性肾功能衰竭患者血压情况以及自然出院率展开回顾性分析。 结果 同对照组妊娠高血压综合征伴有急性肾功能衰竭患者自然出院率（71.11%）展开对比，观察组（95.56%）获得明显提升（χ2=9.680 0，P<0.05）。 结论 对于妊娠高血压综合征伴有急性肾功能衰竭患者于临床给予综合护理干预，对于患者血压有效控制以及自然出院率的提高可以做出充分保证，从而证明综合护理干预的临床应用可行性。

[关键词] 妊娠高血压综合征;急性肾功能衰竭;综合护理;临床效果

[中图分类号] R473.71          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0163-03

Clinical Nursing Strategy and Evaluation of Pregnancy-induced Hypertension Syndrome Complicated with Acute Renal Failure

LI Ming， XU Xiu-e

Department of Nephrology， Affiliated Hospital of Jining Medical College， Jining， Shandong Province， 272029 China

[Abstract] Objective To investigate the feasibility of selecting comprehensive nursing interventions for patients with pregnancy-induced hypertension complicated with acute renal failure. Methods A total of 90 patients with pregnancy-induced hypertension complicated with acute renal failure who were admitted to the hospital from December 2015 to October 2017 were convenient selected as experimental subjects. Digital parity grouping was selected. During the treatment of comorbidities， the control group （45 example）： Select basic care to complete clinical care for comorbidities; observation group （45 cases）： select basic care mode + comprehensive care mode to complete clinical care for comorbidities; and finally treat patients with pregnancy-induced hypertension with acute renal failure in both groups， the blood pressure situation and the natural discharge rate were analyzed retrospectively. Results The natural discharge rate （71.11%） in patients with pregnancy-induced hypertension associated with acute renal failure in the control group， and the observation group （95.56%） significantly increased （χ2=9.680 0，P<0.05）. Conclusion Comprehensive nursing intervention in patients with pregnancy-induced hypertension complicated with acute renal failure can be fully guaranteed for the effective control of blood pressure and the improvement of the natural discharge rate， thus demonstrating the clinical feasibility of comprehensive nursing intervention.

[Key words] Pregnancy-induced hypertension syndrome; Acute renal failure; Comprehensive care; Clinical effect

妊娠高血壓综合征疾病指的是患者于妊娠期表现出的一类疾病，疾病类型主要包括子痫前期、高血压、慢性高血压伴有子痫前期、子痫与慢性高血压几种。对于此类患者疾病症状加以分析，主要指在超过妊娠20周表现出的水肿症状、高血压症状以及蛋白尿症状;如果疾病症状轻微，则表现出轻度头晕症状或者未表现出疾病症状，患者血压水平呈现出轻度升高现象，并发呈现出轻度蛋白尿症状以及水肿症状[1];如果疾病症状严重，则表现出眼花、头痛、持续性右上腹疼痛以及恶心呕吐症状，此外患者表现出较多蛋白尿、较高血压水平以及明显的水肿症状，更为严重会呈现出抽搐昏迷的现象[2]。……