吸附法联合加温盐水冲洗法在无肝素透析中的应用研究

目的 探讨具有高危出血倾向的血液透析(HD)患者,在无肝素透析时采用吸附法联合加温盐水冲洗以减少透析器及管路的血液凝集的效果和安全性.方法 将60例次有高危出血倾向的长期血液透析患者随机分为实验组和对照组各30例次,采用无肝素透析,在透析过程中对照组予常温生理盐水冲洗法,实验组予吸附法联合加温生理盐水冲洗透析法,观察2组透析完成情况以及透析器及管路的凝集情况.结果 实验组完成透析例数显著多于对照组,透析完成率提高,透析器及管路凝血明显减少.结论 对血液透析患者有高危出血倾向时运用吸附法联合加温生理盐水冲洗于无肝素透析可减少透析器及管路的凝血,达到安全、有效的无肝素透析目的 .

Research in application of adsorption method combined with warm saline in heparin- free dialysis

Objective To investigate the efficacy and safety of using adsorption method combined with warm saline in heparin- free dialysis for patients with high risk bleeding tendency in order to reduce blood ag-glutination in the dialyzer and pipeline. Methods 60 patients with high risk bleeding tendency who were to undergo long- term hemodialysis (HD) were divided into the experimental group and the control group with 30 eases in each group,they both adopted heparin- free dialysis.The control group used saline washing of room temperature, while the experimental group adopted adsorption method combined with warm saline during washing. The completion of dialysis as well as the agglutination in the dialyzer and pipeline were ob-served. Results Number of patients who completed the dialysis were more, the completion rate of dialysis was higher and agglutination of dialyzer and pipeline decreased in the experimental group than those in the control group. Conclusions Agglutination of dialyzer and pipeline can be reduced and the aim of safe and effective heparin- free dialysis can be reached when using adsorption method combined with warm saline.