无抗凝CRRT体外循环冲洗护理对病人心率、血压的影响  

Influence of irrigated nursing with non anticoagulant CRRT extracorporeal circulation on heart rate and blood pressure of patients

作　　者：郭宏晶[1] 李莉[1] 向晶[1] 曾鹂[1] 王伟杰[1] 耿赫兵 王艳[1] 孟庆义[1] 朱秀勤[1] 王建荣[1] 

机构地区：[1]中国人民解放军总医院

出　　处：《护理研究（中旬版）》2016年第4期1326-1328,共3页Chinese Nursing Researsh

基　　金：中国人民解放军总医院科研基金项目;编号:13KMM10

摘　　要：[目的]探讨生理盐水冲洗与免冲洗对有高危出血风险行无抗凝连续性肾脏替代治疗(CRRT)时病人循环的影响。[方法]将有高危出血风险行无抗凝CRRT治疗的病人随机分为生理盐水冲洗组(对照组)与免冲洗组(观察组),在上机时、上机后1h、2h、3h、4h、5h、下机前共7个时间点观察两组病人上机治疗过程中心率、血压变化。[结果]两组病人上机过程中不同时间心率、收缩压、舒张压、平均动脉压比较,差异均无统计学意义(P>0.05),但两组病人的脉压在上机后2h、3h、4h、5h及下机时比较差异有统计学意义(P<0.05)。[结论]有高危出血风险的急性或慢性肾衰竭病人行无抗凝CRRT过程中,如合并心血管疾病需慎用生理盐水冲洗。Objective：To probe into the influence of Saline irrigation and free irrigation on patients with high risk of hemorrhage receiving non anticoagulation CRRT treatment.Methods：Patients with high risk of hemorrhage receiving non anticoagulation CRRT treatment were randomly divided into Saline irrigation group（control group）and free irrigation group（observation group）.The center rate and blood pressure were observed at seven time points respectively the time of treating,after 1h,2h,3h,4h,5h and the end of treating between both groups.Results：The results showed that there were not statistically significant differences in the heart rate,systolic pressure,diastolic pressure,mean arterial pressure in different time points during treating between both groups（P〈0.05）,but the difference was statistical significant in the pulse pressure of patients between both groups at 2h,3h,4h,5h after the treating and the end of treating（P〉0.05）.Conclusion：Saline irrigation need to be used carefully for acute or chronic renal failure patients with high risk of hemorrhage risk who underwent non anticoagulation for CRRT and complicated with cardiovascular disease.

关 键 词：持续肾脏替代治疗 生理盐水冲洗 抗凝 凝血 护理 

分 类 号：R473.54[医药卫生—护理学]