[email protected]

临床护理进展

Journal of Advances in Clinical Nursing

您当前位置:首页 > 精选文章

Journal of Advances in Clinical Nursing. 2025; 4: (11) ; 10.12208/j.jacn.20250594 .

Integrated Chinese and western medicine nursing for 1 patient with chronic kidney disease related Pruritus
1例慢性肾脏病相关瘙痒患者的中西医结合护理

作者: 贾丽萍 *, 熊玉婉, 唐安娜, 张竞葳, 杨蔓, 张云云, 罗淑云, 刘中玉

中山市人民医院 广东中山

*通讯作者: 贾丽萍,单位:中山市人民医院 广东中山;

引用本文: 贾丽萍, 熊玉婉, 唐安娜, 张竞葳, 杨蔓, 张云云, 罗淑云, 刘中玉 1例慢性肾脏病相关瘙痒患者的中西医结合护理[J]. 临床护理进展, 2025; 4: (11) : 148-150.
Published: 2025/11/30 12:30:57

摘要

慢性肾脏病相关瘙痒(CKD-aP)是维持性血液透析(MHD)患者普遍存在的长期并发症,其特征为全身性或局部皮肤瘙痒,严重影响患者生活质量。目前临床上治疗瘙痒有多种方法,但每一种单独的治疗方法均不能完全改善患者的瘙痒症状,需要多种治疗方法共同进行才能有所改善。本文报道1例慢性肾脏病相关瘙痒患者,经过中西医结合治疗及护理后临床症状改善,过程中未出现不良反应。

关键词: 慢性肾脏病相关瘙痒;维持性血液透析;中西医结合护理

Abstract

Chronic Kidney Disease-related Pruritus (CKD-aP), a prevalent long-term complication in hemodialysis maintenance (MHD) patients, manifests as generalized or localized pruritus that significantly compromises quality of life. While multiple clinical approaches exist for symptom management, none can achieve complete resolution of pruritus through single therapeutic modalities. This paper reported a case of chronic kidney disease-related itching, after the combined treatment and nursing of Chinese and western medicine, clinical symptoms improved, during the process without adverse reactions.

Key words: Chronic kidney disease related pruritus; Maintenance hemodialysis; Integrated Chinese and western medicine nursing

参考文献 References

[1] 陈江华.慢性肾脏病相关瘙痒管理中国专家共识[J].中华肾脏病杂志,2025,(41)7

[2] Hu T, Wang B, Liao X, et al. Clinical features and risk factors of pruritus in patientswith chronic renal ailure [J]. Exp Ther Med, 2019, 18(2): 964-971. 

[3] 冯洁,强燕娟,唐卫刚.司维拉姆联合3种血液净化方式治疗尿毒症顽固性皮肤瘙痒的临床观察[J].现代医学,2024,52(04):611-614.

[4] 张清洁,张建伟.尿毒症皮肤瘙痒的中西医治疗现状及进展[J].检验医学与临床,2025,22(03):428-43.

[5] 李志平.高通量透析联合低钙透析在尿毒症维持性血液透析患者中的效果[J].透析与人工器官,2023,34(04):5-8.

[6] 高爽,叶盛梅,佟瑞华.血液灌流联合血液透析对尿毒症性皮肤瘙痒患者钙磷代谢、炎症指标及生活质量的影响[J].中国临床医生杂志,2023,51(07):820-823.

[7] 余穗,李佳洁,陈敏,等.不同血液净化方式对维持性血液透析患者皮肤瘙痒及生活质量的影响[J].中国医药指南,2025,23(14):18-20.=-2

[8] 高翔,梅长林.《慢性肾脏病早期筛查、诊断及防治指南(2022年版)》解读[J].中国实用内科杂志,2022,42(09): 735-739.

[9] 胡薇.透析间期体重增长率与透析充分性的关系分析[J].世界最新医学信息文摘,2019,19(A5):97-98.

[10] 滕玲,朱长松,范昊,等.司维拉姆治疗对慢性肾脏病患者IL-6、TNF-α及钙磷代谢的影响[J].分子诊断与治疗杂志,2023,15(08):1384-1387+1392.