摘要
目的:比较干预性预冲和标准预冲在无肝素血液透析患者中的应用效果。方法:随机选取26例维持性血液透析患者,采用自身前后对照比较,前4次透析采用标准预冲,后4次采用干预性预冲,比较两种预冲方法透析后患者尿素清除指数(Kt/V)及透析器、透析管路凝血情况。结果:两种预冲方法透析后患者Kt/V值及透析器、透析管路凝血程度比较差异均有统计学意义(P<0.05)。结论:无肝素血液透析患者应用干预性预冲可明显减少透析器及透析管路凝血,提高尿素氮、肌酐清除率,透析效果良好。
Objective ：To compare the effect of intervention pre- washing and standard pre -washing methods in patients with heparin free hemodialysis. Methods ：26 patients with maintenance hemodialysis were randomly selected and the self controlled comparison was made before and after hemodialysis. The standard pre - washing method was used in the first 4 dialysis and intervention pre - washing method was used in the later 4 dialysis, then Kt/V and blood clotting of dialyzer and pipeline were compared after using the two pre - washing methods. Results：There were statistically significant differences in the comparison of Kt/V and blood clotting of dialyzer and pipeline be- tween the two methods （ P 〈 0.05 ）. Conclusion. The intervention pre - washing method can significantly reduce blood clotting of dialyzer and pipeline and improve the clearance rate of blood urea nitrogen and creatinine as well.
出处
《齐鲁护理杂志》
2013年第3期17-18,共2页
Journal of Qilu Nursing
关键词
预冲
护理干预
血液透析
Pre - washing
Nursing intervention
Hemodialysis
