CAJ | 학술논문

目的探讨规律性尿激酶溶栓治疗对长期颈内静脉留置双腔导管功能的影响.方法将26例颈内静脉双腔导管留置时间大于3个月的维持性血液透析患者分为观察组和对照组,每组13例,观察组在常规导管护理的同时,每月定期1次尿激酶溶栓治疗,对照组采用常规导管护理方法.观察比较两组透析前抽吸导管通畅情况,透析中血流速度、回路静脉压、血流不畅需导管干预的例数及因栓塞更换导管的例数.结果观察组透析前抽吸导管通畅情况、透析中血流速度、回路静脉压、血流不畅需导管干预的例数及因栓塞更换导管的例数与对照组比较差异有统计学意义(P<0.05).结论规律性尿激酶溶栓治疗,可有效地维持长期颈内静脉留置双腔导管的功能,延长导管使用时间,提高透析效率,是一种安全有效的治疗手段.
목적 탐토규률성뇨격매용전치료대장기경내정맥류치쌍강도관공능적영향.방법 장26례경내정맥쌍강도관류치시간대우3개월적유지성혈액투석환자분위관찰조화대조조,매조13례,관찰조재상규도관호리적동시,매월정기1차뇨격매용전치료,대조조채용상규도관호리방법.관찰비교량조투석전추흡도관통창정황,투석중혈류속도、회로정맥압、혈류불창수도관간예적례수급인전새경환도관적례수.결과 관찰조투석전추흡도관통창정황、투석중혈류속도、회로정맥압、혈류불창수도관간예적례수급인전새경환도관적례수여대조조비교차이유통계학의의(P<0.05).결론 규률성뇨격매용전치료,가유효지유지장기경내정맥류치쌍강도관적공능,연장도관사용시간,제고투석효솔,시일충안전유효적치료수단.
Objective To study the effect of regularity uroklnase thrombolysis therapy on permanent internal jugular vein two-way catheter in hemodialysis.Methods The 26 maintenance hemodialysis patients whose internal jugular vein two-way catheter was remained over three month were put into study group and control group.The study group patients were given urokinase thrombolysis therapy once a month and conlmon nulrse,while the control group were given common nurse only.The patency condition of catheter before hemodialysis,the blood flow velocity in hemodialysis,the return venous blood pressure,the case needed to be handled because of poor blood flow,and the case needed to change the catheter because of embolism were observed Results There was conspicuous difference between the two groups in the pateney condition of catheter before hemodialysis,the blood flow velocity in hemodialysis,the return venous blood pressure,the cases needed to be handled because of poor blood flow,and the cases needed to change the catheter because of embolism(P<0.05).Condusions Regularity urokinase thrombolysis therapy is a safe and valid method which can maintain the function of the long-term catheter,extend the using time of the long-term catheter,raise the efficieney of hemodialysis.