不使用肝素盐水预冲透析器对血透患者透析充分性的影响  

Influence of the dialyzer without being pre-rinsed with heparinized saline on the sufficiency of dialysis in the patients with hemodialysis

作　　者：王雪梅[1] 刘立明[1] 

机构地区：[1]山东大学附属省立医院,山东济南250021

出　　处：《齐鲁护理杂志》2010年第7期22-23,共2页Journal of Qilu Nursing

摘　　要：目的:探讨不使用肝素盐水预冲管路和透析器进行血透治疗时对患者透析充分性的影响。方法:采用自身前后对照比较,将10例患者先采用10次肝素盐水预冲方法(肝素盐水组),然后采用10次生理盐水预冲方法(生理盐水组),监测每次透析的充分性(尿素清除指数Kt/V),同时观察血路管和透析器的凝血情况。结果:肝素盐水组和生理盐水组两种预冲方法对患者的透析充分性比较无统计学意义(P>0.05),管路和透析器的凝血情况的比较也无统计学意义(P>0.05)。结论:不使用肝素盐水预冲进行血液透析,减少了肝素用量,降低了患者发生出血的危险,简化了操作流程,没有凝血现象发生,能使患者达到充分透析。Objective： To investigate the influence of the dialyzer which is not pre-rinsed with heparinized saline on the sufficiency of dialysis in the patients with hemodialysis.Methods： The self-contrast was adopted.The dialyzer was pre-rinsed with heparinized saline for 10 times and provided for 10 patients（heparinized saline group）;the pre-rinsed dialyzer with only saline（saline group） was used for the same 10 patients.The sufficiency of dialysis was monitored each time（urea clearance in-dex Kt/V） while blood clotting in pipeline and dialyzer was observed.Results： There was no statistically significant difference in the comparison of sufficiency of dialysis between heparinized saline group and saline group（P 0.05）;no significant differ-ence was found in the comparison of blood clotting in pipeline and dialyzer between the two groups（P 0.05）.Conclusion： Pre-rinsing dialyzer with only saline can not only reduce the usage of heparin and the risk of bleeding and simplify operational procedures,but also achieve the sufficiency of dialysis.

关 键 词：肝素盐水 血液透析 透析器 预冲 

分 类 号：R473.5[医药卫生—护理学]