枸橼酸钠抗凝在危重烧伤患者连续性肾脏替代治疗中的应用及护理  

Application and Nursing of Sodium Citrate Anticoagulation in the Continuous Renal Replacement Therapy of Severe Burn Patients

作　　者：夏青青 邓雪辉 XIA Qing-qing;DENG Xue-hui(ICU, Xinjiang Uygur Autonomous Region Occupational Disease Hospital, Urumqi, Xinjiang, 830091 China;Department of Gynecology and Obstetrics, Xinjiang Uygur Autonomous Region Occupational Disease Hospital, Urumqi, Xinjiang, 830091 China)

机构地区：[1]新疆维吾尔自治区职业病医院重症医学科,新疆乌鲁木齐830091 [2]新疆维吾尔自治区职业病医院妇产科,新疆乌鲁木齐830091

出　　处：《中外医疗》2018年第12期127-129,共3页China & Foreign Medical Treatment

摘　　要：目的观察、分析在危重烧伤患者连续性肾脏替代治疗中,总结并阐述枸橼酸钠抗凝在危重烧伤患者连续性肾脏替代治疗中的应用及护理效果。方法方便选取该院2016年1月—2017年1月间接收的危重烧伤患者30例作为研究对象;分为两组。每组15例,对照组应用预冲式枸橼酸钠杭凝治疗路径;实验组应用同步输入枸橼酸路径。观察分析两组的应用效果。结果实验组患者滤器、管路使用时间分别是(47.54±11.56),(41.65±11.32)h,对照组分别为(36.53±10.12),(34.45±10.41)h,两组之间对比,实验组显著优于对照组,差异有统计学意义(P<0.05)。实验组患者出血发生率为6.7%,显著低于对照组的40.0%,两组之间对比,实验组显著优于对照组,差异有统计学意义(P<0.05)。结论在危重烧伤患者连续性肾脏替代治疗中,相比于应用预冲式枸橼酸钠杭凝治疗路径来说,应用同步输入枸橼酸路径的治疗效果更为显著,有效的降低患者出血发生率,缩短滤器、管路使用时间,安全性高,值得应用。Objective To observe and analyze the application and nursing of sodium citrate anticoagulation in the continuous renal replacement therapy of severe burn patients. Methods 30 cases of severe burn patients admitted and treated in our hospital from January 2016 to January 2017 were convenient selected and divided into two groups with 15 cases in each, the control group and the experimental group were respectively treated with precharged sodium citrate anticoagulation and synchronization input sodium citrate anticoagulation, and the application effect of the two groups was observed and analyzed. Results The usage time of filter and pipeline in the experimental group and in the control group were respectively（47.54±11.56）,（41.65±11.32）h and（36.53±10.12）,（34.45±10.41）h, and the indicators in the experimental group were obviously better than those in the control group, and the differences were statistically significant（P 0.05）, and the incidence rate of hemorrhage in the experimental group was obviously lower than that in the control group（6.7% vs 40.0%）, and the indicator in the experimental group was obviously better than that in the control group, and the difference was statistically significant（P0.05）. Conclusion The effect of synchronization input sodium citrate anticoagulation in continuous renal replacement therapy of severe burn patients is more obvious than that of precharged sodium citrate anticoagulation, which can effectively reduce the incidence rate of hemorrhage, and shorten the usage time of filter and pipeline, with high safety, and it is worth application.

关 键 词：枸橼酸钠 抗凝 危重烧伤患者 连续性肾脏 替代治疗 护理 

分 类 号：R5[医药卫生—内科学]