目的 研究圆斑蝰蛇咬伤伴急性肾衰竭行血液透析与灌流的相关护理措施。方法 选取2021年9月—2022年7月收治的被圆斑蝰蛇咬伤且伴有急性肾衰竭的患者64例。按随机数字表法分成观察组和对照组,每组各32例。两组患者均实行血液透析治疗,医护人员需认真做好手术前中后期的观察工作。对照组采用传统护理方法,包括心理护理以及饮食护理;观察组在传统的护理方法上还实行了体位护理。比较两组患者的恢复效果和护理满意度。结果 观察组的总有效率高达96.85%,显著高于对照组的87.50%,差异有统计学意义（P<0.05）。观察组患者对于护理的满意程度明显高于对照组,差异均有统计学意义（P<0.05）。结论 在对圆斑蝰蛇咬伤伴有及伴有急性肾衰竭的患者实施血液透析与灌流后,可以有效控制患者病情,再加上合理有效的护理方法,能大大提高治愈效果。

Objective To study the nursing measures related to hemodialysis and perfusion for patients with acute renal failure bitten by Viperarusselii. Methods From September 2021 to July 2022, a total of 64 patients with acute renal failure who were bitten by Viperarusselii were randomly divided into two groups： an observation group and a control group, with 32 patients in each group. Both groups of patients were treated with hemodialysis, and the medical staff carefully observed the patients before, during, and after the operation. The control group adopted traditional nursing methods, including psychological nursing and diet nursing; the observation group also carried out posture nursing on the traditional nursing methods. The recovery effect and nursing satisfaction of the two groups were compared. Results The total effective rate of the observation group was 96.85%, which was significantly higher than that of the control group （87.50%, P<0.05）. The satisfaction of the patients in the observation group was significantly higher than that in the control group （P<0.05）. Conclusion Hemodialysis and perfusion can effectively control the condition of patients with Viperarusselii bite and acute renal failure, and reasonable and effective nursing methods can greatly improve the curative effect.