不同血管通路对人工肝血浆置换治疗效果的比较

目的探讨不同血管通路对人工肝血浆置换治疗效果的影响。方法回顾性选择76例慢性肝功能衰竭治疗患者，按照治疗方法不同分为股静脉置管和直接血管穿刺组，共进行124次血浆置换治疗，比较两组患者人工肝血浆置换治疗前后的总胆红素、转氨酶下降情况以及相应并发症发生情况。结果两组患者在人工肝血浆置换治疗前后总胆红素及转氨酶均有明显下降，但两组之间无明显统计学差异（P〉0．05）。股静脉置管组在减轻患者疼痛、出血方面优于直接血管穿刺组（P〈0．05），感染、堵管方面无明显差异（P〉0．05）。结论良好的血管通路对人工肝血浆置换治疗成功有关键作用，股静脉置管是一种较为安全、方便、理想的血管通路建立方式。

Comparison of Curative Effects of Different Vascular Accessfor Artificial Liver Plasma Exchange

ObjectiveTo investigate the therapy effect of the two different vascular access of plasma exchange.Methods76 cases of patients with chronic liver failure caused by chronic severe hepatitis were randomly divided into two groups:femoral vein catheter group and direct puncture group.And all the subjects were dealt with a total of 124 times of therapy of plasma exchange,and then the levels of total bilirubin,ALT as well as the corresponding complications of the two groups before and after plasma exchange were compared.ResultsBoth total bilirubin and transaminase of two groups were significantly decreased after plasma exchange treatment,but there were no significant differences between the two groups of patients.Femoral vein catheterization was advanced in relief of pain and reducing bleeding.And there was no significant difference in infection or pipeline block of the two groups.ConclusionGood vascular access has a key effect of plasma exchange treatment,and femoral vein catheter is a safe and convenient vascular access method.