三种排气方法在组合型人工肾血液灌流器预冲中的应用效果  

Application effect of three methods of bubble-removal in preflush of combined artificial kidney hemoperfusion apparatus

作　　者：王艳梅[1] 徐海燕[1] 李海玉[1] 

机构地区：[1]山东省烟台市毓璜顶医院血液净化科,264000

出　　处：《中华现代护理杂志》2017年第9期1300-1302,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨3种排除气泡方式在血液灌流器预冲中的应用效果.方法 选择行组合型人工肾（HP＋HD）治疗的患者20例,进行血液灌流治疗60例次,按排除气泡方法分为手拍组、锤拍组和抖动组,每组各20例次.比较3种方法预冲排气时护士干预次数、护士满意度及灌流器裂缝、破损情况.结果 3组排气方法中护士平均干预次数和平均干预时间比较,差异有统计学意义（P〈0.01）.护士满意度比较,差异有统计学意义（P〈0.01）.三组灌流器均完好,无裂缝及破损.结论 抖动法在血液灌流器预冲中应用效果较好,可提高护士满意度及工作效率.Objective To investigate the application effect of three methods of bubble-removal in preflush of combined artificial kidney hemoperfusion apparatus.Methods Twenty patients, treated by combined artificial kidney HP＋HD, were selected and divided into three groups： hand beating group, hammer beating group and shaking group, each with twenty cases every time, according to the method they adopted for bubble removal in the preflush process of hemoperfusion for three times. Under the three methods of bubble removal in preflush process, times of nurses′ intervention, their satisfaction, and crack or damage of the perfusion apparatus were compared.Results Among the three methods of bubble removal, differences in average intervention frequency and average intervention time were statistically significant （P〈0.01）. Differences in nurses′ satisfaction were statistically significant （P〈0.01）. In all the three groups, there was no crack or damage in the perfusion apparatus.Conclusions The shaking method is more effective in preflush of hemoperfusion apparatus, which can enhance nurses′ satisfaction and work efficiency.

关 键 词：血液透析 血液灌流 预冲 

分 类 号：R692.5[医药卫生—泌尿科学]