| 自动压力调节补液模式在血液透析滤过中的应用及护理 |
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| 引用本文： | 熊云锦,马丽洁,刘婧,周亦伦.自动压力调节补液模式在血液透析滤过中的应用及护理[J].解放军护理杂志,2011,28(19):28-30. |
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| 作者姓名： | 熊云锦 马丽洁 刘婧 周亦伦 |
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| 作者单位： | 首都医科大学附属北京朝阳医院肾内科,北京,100020 |
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| 摘 要： | 目的探讨自动压力调节补液模式在血液透析滤过中的应用效果及护理方法。方法选择2010年11月至2011年4月在首都医科大学附属北京朝阳医院肾内科进行维持性血液透析患者44例,每2周行血液透析滤过1次。所有患者给予传统容量控制模式的后稀释模式6次和自动压力调节补液模式的后稀释模式6次,自身前后对照,观察两种模式下患者置换液量及跨膜压上限(transmembrane pressure,TMP)报警次数。结果自动压力调节补液模式下置换液量多,与传统容量控制模式下比较,差异有统计学意义(15.16±2.34)L vs(14.22±1.83)L,P<0.01];自动压力调节补液模式下患者未出现TMP上限报警。结论血液透析滤过中应用自动压力调节补液模式可以增加置换液量,血滤过程中不发生TMP上限报警,值得推广。
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| 关 键 词： | 血液透析滤过 压力控制 护理 |
Ultra Control Mode in Patients with Hemodiafiltration |
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| XIONG Yun-jin,MA Li-jie,LIU Jing,ZHOU Yi-lun.Ultra Control Mode in Patients with Hemodiafiltration[J].Nursing Journal of Chinese People's Liberation Army,2011,28(19):28-30. |
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| Authors: | XIONG Yun-jin MA Li-jie LIU Jing ZHOU Yi-lun |
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| Institution: | XIONG Yun-jin,MA Li-jie,LIU Jing,ZHOU Yi-lun(Department of Nephrology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China) |
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| Abstract: | Objective To investigate the effect of Ultra Control Mode in patients with hemodiafiltration.Methods From November 2010 to April 2011,44 maintenance hemodialysis patients were recruited to receive hemodiafiltration once per 2 weeks.The volume control mode and Ultra Control(pressure control) Mode were used in 6 hemodiafiltraiton sessions respectively.The routine volume of displacement liquid was monitored and the incidence of transmembrane pressure(TMP) warning was recorded.Results The volume of displacement... |
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| Keywords: | hemodiafiltration pressure control nursing |
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