无肝素血液透析中2种不同冲洗方法的效果比较  

The Comparison of Two Different Rinsing Methods in Hemodialysis without Heparin

作　　者：杨金梅[1] 王晖霖 杨小云[1] 

机构地区：[1]湖南省怀化市第二人民医院,怀化418000

出　　处：《当代护士（中旬刊）》2010年第8期3-4,共2页Modern Nurse

摘　　要：目的比较在无肝素血液透析中分别采用生理盐水间歇冲洗和持续稀释抗凝冲洗法的效果。方法将80例需要行无肝素血液透析患者随机分为2组,40例患者采用间歇冲洗法为对照组,40例患者采用持续稀释抗凝冲洗法为实验组。比较2组患者的疗效(透析器的凝血情况、管路凝血情况及有效透析时间)。结果实验组患者的疗效优于对照组(p均<0.05),差别有统计学意义。结论持续稀释抗凝冲洗法是无肝素透析治疗中疗效较好的一种治疗方法。Objective：To compare the two different rinsing methods in hemodialysis without heparin. Methods： 80 patients who were going to do hemodialysis without heparin were randomly divided into two groups. Control group with 40 patients was taken intermittent rinsing, while the intervention group with 40 patients was taken continuous diluent anticoagulation. The anticoagulation effect of dialyzer and pipelines and the effective hemodialysis time were compared with the two groups.Results： In general, the treatment effect of intervention group was better than the control group （all p〈0.01）.Conclusion： Continuous diluent anticoagulation was a better rinsing method in hemodialysis without heparin.

关 键 词：血液透析 肝素 冲洗方法 抗凝效果 透析时间 

分 类 号：R472[医药卫生—护理学]