盐水加温冲洗法在无肝素透析中的应用效果观察

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1、万方数据盐水加温冲洗法在无肝素透析中的应用效果观察闵筱兰，茹海凤，陈小凤，李恩(柳州市中医院广西柳州531400)摘要目的：探讨在无肝素透析时采用盐水加温冲洗法以改善具有高危出血倾向的血液透析患者体外血路凝血堵管情况的效果。方法：将60例有高危出血倾向的血液透析治疗患者随机分为实验组和对照组各30例，采用无肝素透析，在透析过程中对照组予常规生理盐水冲洗法，实验组予加温盐水冲洗法，观察两组透析前后动静脉端凝血功能化验指标、透析完成情况及透析器管路的凝血情况。结果：实验组相比对照组透后动静脉端凝血风险降低，透析完成率提高，透析器及管路凝血情况明显改善。结论：血液透析

2、患者有高危出血倾向时应用盐水加温冲洗法无肝素透析可改善透析器及管路的凝血情况，达到安全、有效的透析治疗目的。关键词盐水加温冲洗法；无肝素透析中图分类号：R459．5文献标识码：B文章编号：1006—7256(2011)07—0019一03ObservationontheapplicationeffectoftheirrigationwithnormalsalinepluswarmwateronhemodialysiswithouthepannMinXiao—lan-RuHai-feng-ChenXiao一启ngIetal(LiuzhouMunicipalHosp

3、italofTraditionalChineseMedicine。LiuzhouGuangxi．531400，China)AbstractObjective：Toevaluatetheeffectofirrigationwithnormalsalinepluswarnlwateronimprovingtheclottingblack·ageofextracorporealbloodcircuitinthehemodialysiswithoutheparininthepatientswithhighriskofbleedingtendency．Moth-eds：6

4、0patientswit

5、lhemodialysisandwithhighriskofbleedingtendencywererandomlydividedintoexperimentalandcontrolgroups(30casesforeachgroup)．Authepatientsweregivenhemodialysiswithoutheparininbothgroups．TheirrigationwithonlynormalsalineWasusedwhenthepatientsreceivedhemodialysisinthecontrolgrou

6、pandtheirrigationwithnomudsalinepluswarmwaterwasappliedintheexperimentalgroup．Theindicatorsofcoagulationtestattheendofarteryandveinbeforeandafterhemodialysis，thecompletionofhemodialysisandtheclottinginthepipelineofdialyzerwereobservedinbothgroups．Results：Theriskofdottingattheendofart

7、eryandveinWaslessafterhemodialysisandthecompletionrateofdialysiswashigherintheexperimentalgroupthanthatinthecontrolgroupaccordingtotheresultsoflaboratorytestsandtheclottinginthedialyzerandpipelineWasevidentlyrelieved．Conclusion：Theirrigationwithnormalsalinepluswarnlwatercallmarkedlyr

8、educetheclottinginthedialyzerandpipelinewhenitisappliedtohemodialysispatientswithhigh—riskbleedingtendency．whichCanachievethesafeandeffectivetreatmentoutcome．KeywordsIrrigationwithnormalsalineplusWailnwater；Hemodialysiswithoutheparin2008年2月～2010年10月，我们对30例急慢性肾衰竭患者开展盐水加温冲洗法应用于无肝素透析中的研

9、究，并与常温盐水冲洗法进