Nursing care of a patient with restless leg syndrome undergoing maintenance hemodialysis in a state of microinflammation
1 例微炎症状态下维持性血液透析患者不宁腿综合征的护理

摘要

不宁腿综合征在终末期肾病维持性血液透析患者中尤其容易出现，患病率在 6.6%~62.0%。常表现 为小腿深部难以忍受的如虫爬样、针刺等不适感，活动后可缓解，该症状夜间明显清晨减轻，易造成睡眠障碍。 关系到 MHD 患者的睡眠质量，降低患者身体功能，严重影响病人的生活质量，甚至增加病人的病死率。血液透 析患者极易出现微炎症状态，易发生透析相关不良反应，使 MHD 患者心血管事件的发生率增加。我院通过增 加血液透析滤过及血液灌流模式，普拉克索西替利嗪等药物治疗不宁腿，纠正贫血，使患者不宁腿综合征症状改 善，炎症及各项指标均有好转，现将经验整理总结报道如下。

Abstract

Restless leg syndrome is particularly prone to occur in end-stage renal disease patients undergoing maintenance hemodialysis, with a prevalence rate ranging from 6.6% to 62.0%. Often manifested as unbearable discomfort such as insect crawling and acupuncture in the deep part of the lower leg, which can be relieved after activity. This symptom significantly alleviates at night and in the early morning, which can easily cause sleep disorders. It is related to the sleep quality of MHD patients, reduces their physical function, seriously affects their quality of life, and even increases their mortality rate. Hemodialysis patients are highly susceptible to micro inflammatory states and dialysis related adverse reactions, which increases the incidence of cardiovascular events in MHD patients. Our hospital has improved the symptoms of restless legs syndrome, inflammation, and various indicators by increasing blood dialysis filtration and blood perfusion modes, and using drugs such as Praxosetirizine to treat restless legs, correcting anemia. The experience is summarized and reported as follows.