国际移植与血液净化杂志
國際移植與血液淨化雜誌
국제이식여혈액정화잡지
INTERNATIONAL JOURNAL OF TRANSPLANTATION AND HEMOPURIFICATION
2012年
6期
30-32
,共3页
透析器凝血%预防%超滤预冲%普通肝素
透析器凝血%預防%超濾預遲%普通肝素
투석기응혈%예방%초려예충%보통간소
Dialyzer coagulation%Prevention%Hyperfiltration and pre-flushed%General heparin
目的 探讨预防或减轻透析器凝血的方法.方法 将40例患者按随机数字表法分为A、B组进行交叉试验.A组:试验的第一阶段采用生理盐水密闭式预冲透析器,至透析器不能复用时转为第二阶段,采用普通肝素超滤、生理盐水预冲透析器.B组反之.统计分析2种预处理方法间透析器的复用次数.结果 第一、第二阶段透析器的复用次数A组分别为(4.0500±0.7592)次、(8.2500±1.1180)次；B组分别为(8.2000±1.0563)次、(4.1500±0.8127)次.两种预处理方法比较差异有统计学意义(F=403.18,P=0.0000).结论 应用普通肝素超滤、生理盐水预冲透析器后,透析器复用次数明显多于单纯生理盐水密闭式预冲者,提示应用普通肝素超滤、生理盐水预冲可以预防或减轻透析器凝血.
目的 探討預防或減輕透析器凝血的方法.方法 將40例患者按隨機數字錶法分為A、B組進行交扠試驗.A組:試驗的第一階段採用生理鹽水密閉式預遲透析器,至透析器不能複用時轉為第二階段,採用普通肝素超濾、生理鹽水預遲透析器.B組反之.統計分析2種預處理方法間透析器的複用次數.結果 第一、第二階段透析器的複用次數A組分彆為(4.0500±0.7592)次、(8.2500±1.1180)次；B組分彆為(8.2000±1.0563)次、(4.1500±0.8127)次.兩種預處理方法比較差異有統計學意義(F=403.18,P=0.0000).結論 應用普通肝素超濾、生理鹽水預遲透析器後,透析器複用次數明顯多于單純生理鹽水密閉式預遲者,提示應用普通肝素超濾、生理鹽水預遲可以預防或減輕透析器凝血.
목적 탐토예방혹감경투석기응혈적방법.방법 장40례환자안수궤수자표법분위A、B조진행교차시험.A조:시험적제일계단채용생리염수밀폐식예충투석기,지투석기불능복용시전위제이계단,채용보통간소초려、생리염수예충투석기.B조반지.통계분석2충예처리방법간투석기적복용차수.결과 제일、제이계단투석기적복용차수A조분별위(4.0500±0.7592)차、(8.2500±1.1180)차；B조분별위(8.2000±1.0563)차、(4.1500±0.8127)차.량충예처리방법비교차이유통계학의의(F=403.18,P=0.0000).결론 응용보통간소초려、생리염수예충투석기후,투석기복용차수명현다우단순생리염수밀폐식예충자,제시응용보통간소초려、생리염수예충가이예방혹감경투석기응혈.
Objective To explore the methods of preventing or abating dialyzer coagulation.Methods 40 cases were assigned randomly into groups A and B.In the group A,normal saline pre-flushed dialyzer was used in first stage of the trial until the dialyze could not be reused,general heparin hyperfiltration and normal saline pre-flushed dialyzer was used in second stage of the trial.In the group B,the order was reverse.The dialyzer reusing times were statistically analyzed.Results The dialyzer reusing times of first and second stage in the group A were (4.0500 ± 0.7592) and (8.2500 ± 1.1180) respectively,it were respectively (8.2000 ± 1.0563) and (4.1500 ± 0.8127) in the group B.The differences were statistical significance between the two pretreatment methods of the dialyzer(F =403.18,P =0.0000).Conclusions the general heparin hyperfiltration and normal saline pre-flushed dialyzer can prevent or abate dialyzer coagulation,and can increase in the dialyzer reusing times.
