黑龙江医学
黑龍江醫學
흑룡강의학
Heilongjiang Medical Journal
2015年
10期
1171-1172,1173
,共3页
高危出血%肝素冲洗%连续性肾脏替代治疗%护理
高危齣血%肝素遲洗%連續性腎髒替代治療%護理
고위출혈%간소충세%련속성신장체대치료%호리
Bleeding at high risk%Heparin flushing%Continuous renal replacement%Nursing
目的：探讨适时再次肝素冲洗法在高危出血患者行无抗凝剂连续性肾脏替代治疗中的护理效果。方法选择我院2013－03～2015－03间收治的96例行无抗凝剂连续性肾脏替代治疗的高危出血患者作为研究对象，按照随机数字表法分为观察组和对照组各48例，两组患者均采取肝素冲洗管路和滤器，观察组在治疗过程中发现患者有凝血倾向，立即采用肝素再次冲洗。对比分析两组患者的全身活动性出血状况、单次管路和滤器使用时间、血小板的数值及凝血4项。结果治疗前后两组患者血小板数值及凝血4项无明显变化（P＞0.05）；观察组滤器及管路单次使用时间均显著高于对照组（P＜0.05）；观察组活动出血率显著低于对照组（ P＜0.05）。结论无抗凝剂连续性肾脏替代治疗高危出血患者中，予以适时再次肝素冲洗，可延长管路和滤器的使用时间，并减少患者全身活动性出血。
目的：探討適時再次肝素遲洗法在高危齣血患者行無抗凝劑連續性腎髒替代治療中的護理效果。方法選擇我院2013－03～2015－03間收治的96例行無抗凝劑連續性腎髒替代治療的高危齣血患者作為研究對象，按照隨機數字錶法分為觀察組和對照組各48例，兩組患者均採取肝素遲洗管路和濾器，觀察組在治療過程中髮現患者有凝血傾嚮，立即採用肝素再次遲洗。對比分析兩組患者的全身活動性齣血狀況、單次管路和濾器使用時間、血小闆的數值及凝血4項。結果治療前後兩組患者血小闆數值及凝血4項無明顯變化（P＞0.05）；觀察組濾器及管路單次使用時間均顯著高于對照組（P＜0.05）；觀察組活動齣血率顯著低于對照組（ P＜0.05）。結論無抗凝劑連續性腎髒替代治療高危齣血患者中，予以適時再次肝素遲洗，可延長管路和濾器的使用時間，併減少患者全身活動性齣血。
목적：탐토괄시재차간소충세법재고위출혈환자행무항응제련속성신장체대치료중적호리효과。방법선택아원2013－03～2015－03간수치적96례행무항응제련속성신장체대치료적고위출혈환자작위연구대상，안조수궤수자표법분위관찰조화대조조각48례，량조환자균채취간소충세관로화려기，관찰조재치료과정중발현환자유응혈경향，립즉채용간소재차충세。대비분석량조환자적전신활동성출혈상황、단차관로화려기사용시간、혈소판적수치급응혈4항。결과치료전후량조환자혈소판수치급응혈4항무명현변화（P＞0.05）；관찰조려기급관로단차사용시간균현저고우대조조（P＜0.05）；관찰조활동출혈솔현저저우대조조（ P＜0.05）。결론무항응제련속성신장체대치료고위출혈환자중，여이괄시재차간소충세，가연장관로화려기적사용시간，병감소환자전신활동성출혈。
Objective To discuss nursing effect of timely irrigation heparin in patients at high risk of bleeding again without anticoagu -lantcontinuousrenalreplacementtherapy.Methods 96patientsathighriskofbleedingtimelyagainheparinflushingundernoanticoagu-lant continuous renal replacement therapy from March , 2013 to March, 2015 were randomly divided into observation group and control group, with 48 cases in each group.Patients of two groups received heparin flushing pipeline and filter.In the observation group , in the process of treatment , when patients were prone to clotting , heparin was used to make immediately rinse again.Systemic active bleeding con-dition, single line and the filter using time , the value of platelet and coagulation of the two groups were compared.Results Before and af-ter treatment, platelet value and coagulation had no significant change (P>0.05);in the observation group, filter and pipeline single using time were significantly higher than those in control group ( P<0.05 );in the observation group , bleeding rate was significantly lower than the control group ( P<0.05 ).Conclusion Patients at high risk of bleeding under no anticoagulant continuous renal replacement therapy should get duly heparin flushing again.In this way , it can prolong the life time of the pipeline and filter , and reduce the active bleeding of patients.
