并联式双静脉壶透析管路的设计及应用效果研究  

The design and effects of parallel double venous pots hemodialysis tubing set

作　　者：吴春燕[1] 叶志弘[1] 柴剑丽 施剑斌[1] 陆明晰[1] 李华[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院血透室,杭州市310016

出　　处：《中华护理杂志》2017年第4期496-499,共4页Chinese Journal of Nursing

基　　金：浙江省教育厅基金资助项目(Y201534383);国家自然科学基金(71373232)

摘　　要：目的设计并联式双静脉壶透析管路,并检测其在无肝素血液透析患者中的临床应用效果。方法 2014年5月—2016年6月选取某三级甲等医院血液净化中心收治的120例无肝素血液透析患者,按照随机数字法分为实验组和对照组,每组各60例。实验组应用自行设计的并联式双静脉壶透析管路进行透析,对照组采用传统透析管路进行透析。记录2组在透析过程中各管路部件(透析器、静脉管路、动脉管路)预防性更换的数量、因凝血导致整条管路丢弃的数量和第1副管路完成治疗的时间。结果 2组因凝血导致整条管路丢弃的数量及第一副管路完成治疗时间的比较,差异具有统计学意义(P<0.05)。结论采用并联式双静脉壶透析管路透析可以减少因凝血导致整条管路丢弃的数量、延长第一副管路治疗的时间。Objective To design and investigate the clinical effects of parallel double venous pots hemodialysis tubing set in patients with heparin-free hemodialysis. Methods Totally 120 patients who received hemodialysis therapy in our hospital from May,2014 to June,2016 were randomly divided into the experimental group （n=60） and the control group（n=60） via random number table. The experimental group received self-designed parallel dou- ble venous pots dialysis tubing set,while the control group received the normal dialysis tubing set. The number of preventive replacement of dialyzer and tubing set during heparin-free dialysis,the number of discarded tubing set due to coagulation and the time frame for the first tubing set were recoded from two groups. Results There were statistically significant differences in the number of discarded tubing set due to coagulation and the time frame for the first tubing between two groups（P〈0.05）. Conclusion Parallel double venous pots dialysis tubing set can reduce the number of discarded tubing set due to coagulation ,prolong the time frame for the first tubing.

关 键 词：血液透析 血液凝固 护理 

分 类 号：R473.5[医药卫生—护理学]