CAJ | 학술논문

目的：探究应用地塞米松与自体血循管预防首次使用综合征的临床疗效。方法选取近3年在我院接受血液透析治疗并发生首次使用综合征的患者360例，将其随机分为地塞米松组、自体血循管组，平均每组180例，地塞米松组患者应用地塞米松进行预充处理，自体血循管组患者采用自体血循管进行预充处理，观察并比较两组患者预防首次使用综合征发生的有效率。结果自体血循管组预充处理后的有效率（99.44%）明显高于地塞米松组预充处理后的有效率（73.33%），两组有显著性差异，统计学上有意义（P<0.05）。结论地塞米松与自体血循管在预防首次使用综合征中，自体血循管有更好的疗效，值得临床应用推广。
목적：탐구응용지새미송여자체혈순관예방수차사용종합정적림상료효。방법선취근3년재아원접수혈액투석치료병발생수차사용종합정적환자360례，장기수궤분위지새미송조、자체혈순관조，평균매조180례，지새미송조환자응용지새미송진행예충처리，자체혈순관조환자채용자체혈순관진행예충처리，관찰병비교량조환자예방수차사용종합정발생적유효솔。결과자체혈순관조예충처리후적유효솔（99.44%）명현고우지새미송조예충처리후적유효솔（73.33%），량조유현저성차이，통계학상유의의（P<0.05）。결론지새미송여자체혈순관재예방수차사용종합정중，자체혈순관유경호적료효，치득림상응용추엄。
Objective?To?explore?the?application?of?dexamethasone?and?autologous?bulky?tube?preventing?first?use?syndrome?clinical?effect.?Methods?Nearly three years in our hospital and patients receiving hemodialysis treatment 360 cases for the ifrst time syndrome occurs randomly divided into?conventional?group,?dexamethasone?group,?autologous?bulky?tube?group,?an?average?of?120?people?in?each?group,?the?conventional?routine?treatment?of?patients,?dexamethasone-treated?patients?in?the?dexamethasone?group,?autologous?bulky?tube?group?treated?with?autologous?bulky?canal?therapy,?observed?and?compared three groups of patients ifrst use syndrome prevention effectiveness. Results?The efifciency of dexamethasone group after treatment (98.33%), as well as the efifciency of bulky tube after autologous treatment group (99.17%) was signiifcantly higher than the conventional treatment group, there are efifciency (49.17%), dexamethasone group autologous bulky tube group were compared with the conventional group had signiifcant difference statistically signiifcant. Conclusion?Dexamethasone and autologous bulky tube preventing ifrst use syndrome, has a good effect, worthy of clinical application of the promotion.