CAJ | 학술논문

目的：探讨自体血循管在透析治疗中的应用价值。方法选择2013年12月~2014年12月于本院进行维持性血液透析患者140例作为研究对象，采用随机数字表法将所有患者分为试验组与对照组，每组70例，对照组按常规血液透析流程操作，试验组在对新的透析器和管路进行常规预冲后应用患者自体血密闭式循管10~15 min，观察两组患者血液透析过程中首次使用综合征(FUS)发生率，对比治疗前后BUN、SCr、ALB、CO2CP的变化。结果对照组共透析828次，发生FUS者23次(2.78%)，试验组患者透析852次，发生FUS者5次(0.59%)，两组比较差异有统计学意义(P<0.05)；治疗3个月后，试验组与对照组患者BUN、SCr、ALB、CO2CP比较差异有统计学意义(P<0.05)。结论自体血循管能有效预防患者血液透析过程中FUS的发生，降低透析患者BUN、SCr水平，提高ALB、CO2CP水平，提高血液透析治疗的安全性，降低患者的医疗费用，值得临床推广应用。
목적：탐토자체혈순관재투석치료중적응용개치。방법선택2013년12월~2014년12월우본원진행유지성혈액투석환자140례작위연구대상，채용수궤수자표법장소유환자분위시험조여대조조，매조70례，대조조안상규혈액투석류정조작，시험조재대신적투석기화관로진행상규예충후응용환자자체혈밀폐식순관10~15 min，관찰량조환자혈액투석과정중수차사용종합정(FUS)발생솔，대비치료전후BUN、SCr、ALB、CO2CP적변화。결과대조조공투석828차，발생FUS자23차(2.78%)，시험조환자투석852차，발생FUS자5차(0.59%)，량조비교차이유통계학의의(P<0.05)；치료3개월후，시험조여대조조환자BUN、SCr、ALB、CO2CP비교차이유통계학의의(P<0.05)。결론자체혈순관능유효예방환자혈액투석과정중FUS적발생，강저투석환자BUN、SCr수평，제고ALB、CO2CP수평，제고혈액투석치료적안전성，강저환자적의료비용，치득림상추엄응용。
Objective To investigate the application effect of autologous blood circulation tube in dialysis treatment. Methods 140 patients with maintenance hemodialysis in our hospital from December 2013 to December 2014 were se-lected as research objects and divided into test group and control group according to random number table method,with 70 cases in each group.Routine hemodialysis process operation was used in control group,autologous blood closed cir-culation pipe for 10-15 minutes after conventional pre punching new dialysis tube and pipe was used in test group,rate of first use syndrome(FUS) between two groups was observed,change of BUN,SCr,ALB,CO2CP before and after treatment between two groups were compared. Results Control group accepted 828 times of dialysis,the occurrence of FUS was 23 times(2.78%),the test group accepted 852 times of dialysis,the occurrence of FUS was 5 times(0.59%),there was signifi-cant difference between two groups (P<0.05);After three moths of treatment,BUN,SCr,ALB,CO2CP had significant differ-ence between two groups(P<0.05). Conclusion Autologous blood circulation tube can effectively prevent the occurrence of FUS during the course of hemodialysis,it decrease BUN,SCr level of dialysis patients,improve the level of ALB, CO2CP and the safety of the hemodialysis as well as reduce medical cost objective,is worthy of application and promo-tion in clinic.