中华灾害救援医学
中華災害救援醫學
중화재해구원의학
Chinese Journal of Disaster Medicine
2015年
10期
555-557
,共3页
血液透析%密闭式自动排气管路预冲法%密闭式管路预冲法
血液透析%密閉式自動排氣管路預遲法%密閉式管路預遲法
혈액투석%밀폐식자동배기관로예충법%밀폐식관로예충법
hemodialysis%closed automatic-exhaust pipeline pre-rinse%closed pipeline pre-rinse
目的 观察密闭式自动排气管路预冲法在血液透析患者中的临床应用效果.方法 选取海南省人民医院71例血液透析患者,采用自身前后对照试验,分为对照组和试验组,对照组使用常规密闭式管路预冲法,试验组使用密闭式自动排气管路预冲法,比较两组的预冲操作时间及透析器凝血情况;对32例使用具有在线尿素清除指数监测功能的透析机行透析治疗的患者(按入院时间随机安排),计算并比较两组尿素清除指数Kt/V值;比较随机选取20例患者的体外血液循环通路中不溶性微粒的清除效果.结果 试验组预冲操作时间(221.69±10.44)s明显少于对照组预冲操作时间(367.88±16.68)s,差异有统计学意义(t=75.05,P<0.001),两组的透析器凝血分级情况相比无明显差异(Z=-0.16,P=0.87);试验组尿素清除指数Kt/V为(15.08±1.53),与对照组的(15.03±1.55)相比无明显差异(t=-0.31,P=0.76);外循环血液通路内不溶性微粒直径>10μm及>25μm的数量,试验组与对照组比较均无统计学意义.结论 密闭式自动排气管路预冲法对血液透析患者可能是一种省时节力、安全有效的方法,值得在临床推广应用.
目的 觀察密閉式自動排氣管路預遲法在血液透析患者中的臨床應用效果.方法 選取海南省人民醫院71例血液透析患者,採用自身前後對照試驗,分為對照組和試驗組,對照組使用常規密閉式管路預遲法,試驗組使用密閉式自動排氣管路預遲法,比較兩組的預遲操作時間及透析器凝血情況;對32例使用具有在線尿素清除指數鑑測功能的透析機行透析治療的患者(按入院時間隨機安排),計算併比較兩組尿素清除指數Kt/V值;比較隨機選取20例患者的體外血液循環通路中不溶性微粒的清除效果.結果 試驗組預遲操作時間(221.69±10.44)s明顯少于對照組預遲操作時間(367.88±16.68)s,差異有統計學意義(t=75.05,P<0.001),兩組的透析器凝血分級情況相比無明顯差異(Z=-0.16,P=0.87);試驗組尿素清除指數Kt/V為(15.08±1.53),與對照組的(15.03±1.55)相比無明顯差異(t=-0.31,P=0.76);外循環血液通路內不溶性微粒直徑>10μm及>25μm的數量,試驗組與對照組比較均無統計學意義.結論 密閉式自動排氣管路預遲法對血液透析患者可能是一種省時節力、安全有效的方法,值得在臨床推廣應用.
목적 관찰밀폐식자동배기관로예충법재혈액투석환자중적림상응용효과.방법 선취해남성인민의원71례혈액투석환자,채용자신전후대조시험,분위대조조화시험조,대조조사용상규밀폐식관로예충법,시험조사용밀폐식자동배기관로예충법,비교량조적예충조작시간급투석기응혈정황;대32례사용구유재선뇨소청제지수감측공능적투석궤행투석치료적환자(안입원시간수궤안배),계산병비교량조뇨소청제지수Kt/V치;비교수궤선취20례환자적체외혈액순배통로중불용성미립적청제효과.결과 시험조예충조작시간(221.69±10.44)s명현소우대조조예충조작시간(367.88±16.68)s,차이유통계학의의(t=75.05,P<0.001),량조적투석기응혈분급정황상비무명현차이(Z=-0.16,P=0.87);시험조뇨소청제지수Kt/V위(15.08±1.53),여대조조적(15.03±1.55)상비무명현차이(t=-0.31,P=0.76);외순배혈액통로내불용성미립직경>10μm급>25μm적수량,시험조여대조조비교균무통계학의의.결론 밀폐식자동배기관로예충법대혈액투석환자가능시일충성시절력、안전유효적방법,치득재림상추엄응용.
Objective To observe the application effect of closed automatic-exhaust pipeline pre-rinse method in hemodialysis patients.Methods 71 cases of hemodialysis patients from Hainan provincial people's hospital were collected. By using the self-control study, they were divided into control group and experimental group. Control group used conventional closed pipeline pre-rinse while experimental group used closed automatic-exhaust pipeline pre-rinse. Pre-rinse operation time and dialyser coagulation of the two groups were compared. Urea clearance index Kt/V in two groups of 32 patients who used dialysis machine with on-line urea clearance index monitoring function (arranged according to the admission time) were calculated and compared. 20 patients were randomly selected to compare removal effect of particulate matter in extracorporeal blood circulation pathway.Results Pre-rinse operation time in experimental group was (221.69±10.44) s which was less than control group (367.88±16.68) s, the difference was statistically significant (t=75.05, P<0.001). Coagulation grade of dialyser between the two groups had no statistically significant difference (Z=-0.16,P=0.87). Urea clearance index Kt/V in experimental group was (15.08±1.53) and control group was (15.03±1.55), the difference was no statistically significant (t=-0.31,P=0.76). Number of particulate matter >10μm and >25 μm in extracorporeal blood circulation pathway between the two groups were compared, and the difference was not statistically significant.Conclusions For hemodialysis patients, closed automatic-exhaust pipeline pre-rinse maybe a time saving and power saving, safe and effective method, worthy to popularize and apply in clinic.
