中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
21期
2526-2528
,共3页
张朝梅%黄竹君%刘金凤%杨凤妹
張朝梅%黃竹君%劉金鳳%楊鳳妹
장조매%황죽군%류금봉%양봉매
肾透析%并发症%回血方法%残余血量%停泵时间
腎透析%併髮癥%迴血方法%殘餘血量%停泵時間
신투석%병발증%회혈방법%잔여혈량%정빙시간
Hemodialysis%Complications%Blood reinfusion%Residual blood volume%Blood pump stopped time
目的 探讨改良回血法在血液透析中的应用效果,以期为临床护理工作提供理论依据.方法 选取21例规律血液透析患者为研究对象,采用自身对照方法,每例患者每周依次采用3种回血方法进行透析.比较回血过程中停泵时间、总回血时间、残余血量、回输生理盐水量、并发症发生率及透析器凝血状况.结果 改良法的停泵时问及总回血时间分别为(18.64±3.86),( 250.03±27.81)s,均低于单向法的(42.16±8.49),(262.95±33.24)s和双向法的(82.05±18.84),(306.16±23.19)s,差异均有统计学差异(F分别为444.55,67.94;P ＜0.01);改良法的残余血量及同输生理盐水量分别(2.81±0.42),(100.56±23.90)ml,与单向法的(2.81±0.51),(100.37±21.41) ml比较,差异无统计学意义(P＞0.05),但与双向法的(3.00±0.47),(148.57±23.55) ml比较,差异有统计学差异(P＜0.05);改良法的并发症发生率为3.1％低于单向法的11.9％,差异有统计学意义(x2=7.07,P=0.008),但与双向法的3.9％比较,差异无统计学差异(x2 =0.132,P＞0.05);透析器凝血状况3组比较,差异无统计学意义(P＞0.05).结论 改良回血法能最大限度减少回血中停泵时间和总回血时间,降低并发症发生率,减少残余血量及回输生理盐水量.
目的 探討改良迴血法在血液透析中的應用效果,以期為臨床護理工作提供理論依據.方法 選取21例規律血液透析患者為研究對象,採用自身對照方法,每例患者每週依次採用3種迴血方法進行透析.比較迴血過程中停泵時間、總迴血時間、殘餘血量、迴輸生理鹽水量、併髮癥髮生率及透析器凝血狀況.結果 改良法的停泵時問及總迴血時間分彆為(18.64±3.86),( 250.03±27.81)s,均低于單嚮法的(42.16±8.49),(262.95±33.24)s和雙嚮法的(82.05±18.84),(306.16±23.19)s,差異均有統計學差異(F分彆為444.55,67.94;P ＜0.01);改良法的殘餘血量及同輸生理鹽水量分彆(2.81±0.42),(100.56±23.90)ml,與單嚮法的(2.81±0.51),(100.37±21.41) ml比較,差異無統計學意義(P＞0.05),但與雙嚮法的(3.00±0.47),(148.57±23.55) ml比較,差異有統計學差異(P＜0.05);改良法的併髮癥髮生率為3.1％低于單嚮法的11.9％,差異有統計學意義(x2=7.07,P=0.008),但與雙嚮法的3.9％比較,差異無統計學差異(x2 =0.132,P＞0.05);透析器凝血狀況3組比較,差異無統計學意義(P＞0.05).結論 改良迴血法能最大限度減少迴血中停泵時間和總迴血時間,降低併髮癥髮生率,減少殘餘血量及迴輸生理鹽水量.
목적 탐토개량회혈법재혈액투석중적응용효과,이기위림상호리공작제공이론의거.방법 선취21례규률혈액투석환자위연구대상,채용자신대조방법,매례환자매주의차채용3충회혈방법진행투석.비교회혈과정중정빙시간、총회혈시간、잔여혈량、회수생리염수량、병발증발생솔급투석기응혈상황.결과 개량법적정빙시문급총회혈시간분별위(18.64±3.86),( 250.03±27.81)s,균저우단향법적(42.16±8.49),(262.95±33.24)s화쌍향법적(82.05±18.84),(306.16±23.19)s,차이균유통계학차이(F분별위444.55,67.94;P ＜0.01);개량법적잔여혈량급동수생리염수량분별(2.81±0.42),(100.56±23.90)ml,여단향법적(2.81±0.51),(100.37±21.41) ml비교,차이무통계학의의(P＞0.05),단여쌍향법적(3.00±0.47),(148.57±23.55) ml비교,차이유통계학차이(P＜0.05);개량법적병발증발생솔위3.1％저우단향법적11.9％,차이유통계학의의(x2=7.07,P=0.008),단여쌍향법적3.9％비교,차이무통계학차이(x2 =0.132,P＞0.05);투석기응혈상황3조비교,차이무통계학의의(P＞0.05).결론 개량회혈법능최대한도감소회혈중정빙시간화총회혈시간,강저병발증발생솔,감소잔여혈량급회수생리염수량.
Objective To explore the effect of clinical application of three blood re-infusion methods,to provide theoretical basis for clinical nursing.Methods 21 patients with hemodialysis were enrolled in this study.Each patient was dialyzed with three blood re-infusion methods every week and self-compared.Pump stopped time,total blood re-infusion time,residual blood volumes in dialyzer and pipeline,volumes of saline solution,needle-related complications and clotting status in dialyzer were compared among three groups during blood re-infusion.Results Both pump stopped time ( 18.64 ± 3.86 ) s and total re-infusion time ( 250.03 ±27.81 )s by modified one-way method were lower than the values by traditional one-way method (42.16 ±8.49),(262.95 ± 33.24 ) s,and two-way blood re-infusion method ( 82.05 ± 18.84 ),( 306.16 ± 23.19 ) s,respectively.The differences were statistically significant ( F =444.55,67.94,respectively; P ＜ 0.01 ).There was no significant difference in residual blood volumes in dialyzer and pipeline and volumes of saline solution between modified one-way (2.81 ± 0.42 ),( 100.56 ± 23.90 )ml,and traditional one-way ( 2.81 ± 0.51 ),( 100.37 ±21.41 ) ml,( P ＞0.05).However,significant difference was found between modified one-way and two-way method ( 3.00 ± 0.47 ),( 148.57 ± 23.55 ) ml,( P ＜ 0.05 ).Complication rate of modified one-way method ( 3.1％ ) was less than traditional one way ( 11.9％ ),the difference was statistical significant ( P ＜0.01 ).There was no significant difference between modified one-way and two-way method ( 3.9％ ),( P ＞0.05 ) in complication rate.No significant difference was found in clotting status in dialyzer among three groups (P ＞ 0.05 ).Conclusions Modified one-way blood re-infusion maximally reduced pump stopped time and total re-infusion time,lowered needle-related complications,residual blood volumes and volumes of saline solution.
