水中浸泡對肝硬化併發腹水病患利尿排鈉之成效

Effects of Water Immersion on Diuresis and Natriuresis in Cirrhotic Patients Complicated with Ascites

陳思佳(Shih-Chia Chen) ； 梁靜祝(Ching-Chu Liang) ； 楊培銘(Pei-Ming Yang)

《台灣醫學》 7卷4期 (2003/07) Pp. 510-524

https://doi.org/10.6320/FJM.2003.7(4).05

摘要

The aims of this study were to investigate the effect of water immersion on the improvement of diuresis and natreuresis in the cirrhotic ascites patient, and to understand the physical response in subjects under this treatment. Ten cirrhotic patients with ascites were recruited in this study. In order to avoid the extraneous effects on the water immersion, this study designed the first four days as the preparation period during which subjects received control diet in sodium and diuretic therapy. The fifth to seventh days were the treatment period during which water immersion was given, and the last three days were the observation period. The results of this study were shown in the followings: (1) There was statistically significant decrease in plasma aldosterone concentration and urine osmolality (p＜0.01) before and after water immersion. (2) The effects on diuresis and natriuresis were also shown in the change of body weight (0.5-kg decrease per day), abdominal girth (1-cm decrease per day), and 24-hour urine volume (500-cc increase per day) immediately after immersion. (3) Vital signs including blood pressure, pulse rate and respiratory rate were also checked during water immersion. Blood pressures were slightly declined during water immersion, but the changes were statistically non-significant, and recovered soon after immersion. The changes in respiratory rate and pulse rate were also negligible. It is concluded that water immersion does have effects on diuresis and natriuresis and is safe in cirrhotic patients complicated with ascites. Researchers of this study suggest that water immersion can be considered as a nursing intervention for cirrhotic patients complicated with ascites.

關鍵字

腹水 ； 水中浸泡措施 ； 利尿作用 ； 排鈉作用

並列摘要

The aims of this study were to investigate the effect of water immersion on the improvement of diuresis and natreuresis in the cirrhotic ascites patient, and to understand the physical response in subjects under this treatment. Ten cirrhotic patients with ascites were recruited in this study. In order to avoid the extraneous effects on the water immersion, this study designed the first four days as the preparation period during which subjects received control diet in sodium and diuretic therapy. The fifth to seventh days were the treatment period during which water immersion was given, and the last three days were the observation period. The results of this study were shown in the followings: (1) There was statistically significant decrease in plasma aldosterone concentration and urine osmolality (p＜0.01) before and after water immersion. (2) The effects on diuresis and natriuresis were also shown in the change of body weight (0.5-kg decrease per day), abdominal girth (1-cm decrease per day), and 24-hour urine volume (500-cc increase per day) immediately after immersion. (3) Vital signs including blood pressure, pulse rate and respiratory rate were also checked during water immersion. Blood pressures were slightly declined during water immersion, but the changes were statistically non-significant, and recovered soon after immersion. The changes in respiratory rate and pulse rate were also negligible. It is concluded that water immersion does have effects on diuresis and natriuresis and is safe in cirrhotic patients complicated with ascites. Researchers of this study suggest that water immersion can be considered as a nursing intervention for cirrhotic patients complicated with ascites.

並列關鍵字

ascites ； water immersion ； diuresis ； natriuresis