无肝素透析治疗高危出血肾功衰竭的护理效果观察  

Clinical Effect of Non-heparin Dialysis in the Treatment of Renal Failure in Patients with High Risk of Bleeding

作　　者：胡秀梅 

机构地区：[1]深圳市人民医院血液净化室,深圳518020

出　　处：《数理医药学杂志》2016年第9期1386-1387,共2页Journal of Mathematical Medicine

摘　　要：目的：观察无肝素透析治疗高危出血肾功衰竭的护理效果。方法：对2012年7月-2014年2月某院收治76例高危出血肾功能衰竭患者随机将其分为两组,每组38例患者,分别作为观察组与对照组。对观察组患者使用无肝素技术治疗,对照组使用常规治疗,并观察记录两组患者肾功能改善情况与并发症发生率。结果：观察组肾功能改善率显著强于对照组,并发症发生率低于对照组,差异具有统计学意义（P〈0.05）。结论：无肝素透析过程中虽存在发生透析器凝血而丢失一部分血液的可能,且还会出现一系列并发征,但只要严密观察加强护理是可以有效规避的,进而能够让患者得到充分的透析并安全渡过危险期。Objective To observe the clinical effect of non-heparin dialysis in the treatment of renal failure in patients with high risk of bleeding. Methods： 76 cases of renal failure with high risk of bleeding treated in a hospital from July 2012 to February 2014 were taken as research objects, who were randomly divided into observation group and control group, 38 patients in each group. The observation group were treated with non-heparin dialysis and the control group were treated with conventional therapy. Then the improvement pf kidney and complication incidence were recorded. Results： The results showed that, the improvement rate of the observation group was significantly higher than that in control group, and the complication rate was lower than that of the control group, the difference was statistically significant （P 〈0.05）. Conclusion： In non-heparin dialysis, although there are coagulation in dialyser and lost part of the blood, and there will be a series of complications, which can be effectively avoided by strict observation and strengthened nursing and allow patients to receive adequate dialysis and safely go through dangerous period.

关 键 词：无肝素透析 高危出血 肾功衰竭 护理 

分 类 号：R473[医药卫生—护理学]