目的 探究全面规范化督导式护理联合红参及中药穴位贴敷在透析低血压患者中的应用效果。方法 将80例于九江市中医医院接受血液透析治疗的慢性肾衰竭患者分为两组,各组40例。对照组予以全面规范化督导式护理,观察组联合红参及中药穴位贴敷,均干预8周。比较两组透析前、透析中2h及透析后血压、干预前后生化指标、干预后疲劳程度及恢复时间。结果 两组透析前舒张压及收缩压、干预前生化指标比较,差异无统计学意义(P＞0.05);观察组透析中2h及透析后舒张压、收缩压均高于对照组,干预后血红蛋白(Hb)、血浆白蛋白(ALB)、转铁蛋白(TRF)均高于对照组,C反应蛋白(CRP)低于对照组,差异有统计学意义(P＜0.05);观察组干预后Piper疲乏修订量表(RPFS)评分低于对照组,透析后疲劳的恢复时间短于对照组,差异有统计学意义(P＜0.05)。结论 全面规范化督导式护理联合红参及中药穴位贴敷能够有效提高血液透析慢性肾衰竭患者透析时、透析后血压,调节生化指标,减轻透析后疲劳,加快恢复进程。

Objective To explore the application effect of comprehensive standardized supervision nursing combined with red ginseng and traditional Chinese medicine acupoint application in patients with dialysis hypotension. Methods 80 patients with chronic renal failure who received hemodialysis treatment at Jiujiang Traditional Chinese Medicine Hospital were divided into two groups of 40 patients each. The control group received comprehensive and standardized supervision nursing, while the observation group received a combination of red ginseng and traditional Chinese medicine acupoint application, both of which were intervened for 8 weeks. Comparing the blood pressure, biochemical indicators before and after intervention, fatigue level and recovery time between two groups before dialysis, during dialysis for 2 hours and after dialysis. Results There was no statistically significant difference (P>0.05) between the two groups in terms of pre dialysis diastolic and systolic blood pressure, as well as pre intervention biochemical indicators; The observation group had higher diastolic and systolic blood pressure during 2 hours of dialysis and after dialysis compared to the control group. After intervention, hemoglobin (Hb), plasma albumin (ALB), and transferrin (TRF) of the observation group were all higher than the control, but the C-reactive protein (CRP) was lower than the control, the difference was statistically significant (P<0.05); After intervention, the revised Piper Fatigue Scale (RPFS) score of the observation group was lower than that of the control group, and the recovery time of fatigue after dialysis was shorter than that of the control group, with statistical significance (P<0.05). Conclusion The comprehensive and standardized supervision nursing combined with red ginseng and traditional Chinese medicine acupoint application can effectively improve blood pressure during and after hemodialysis in patients with chronic kidney failure, regulate biochemical indicators, reduce post dialysis fatigue, and accelerate the recovery process.