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1、CHINESEJ.DIAL.&ARTIF.ORGANSVo1.20No.3SEP.2009血液透析聯(lián)合血液灌流治療維持性血液透析患者的應用與護理劉煥文【摘要】目的探討透析器與灌流器串聯(lián)在治療維持性血液透析患者的應用與護理要點。方法將維持性血液透析患者36例,隨機分為2組:實驗組和對照組。實驗組采用透析器與灌流器(HA型)串聯(lián)進行治療;對照組采用常規(guī)血液透析,治療前后檢測中分子物質(zhì)、尿素氮、肌酐、血壓及臨床癥狀等。結果經(jīng)過2個月臨床觀察,實驗組皮膚瘙癢明顯改善,血壓穩(wěn)定,中分子物質(zhì)清除均顯著高于對照組。結論血液透析器與血液灌流器聯(lián)合應
2、用可提高中分子物質(zhì)的清除率,有效改善維持性血透患者皮膚瘙癢、頑固性高血壓、睡眠、食欲等,彌補了單純性血液透析的缺點?!娟P鍵詞】維持性血液透析(maintenancehemodialysis,MHD);血液灌流中圖分類號:R473.5文獻標志碼:B文章編號:1005—0809(2009)03—0040—02TheApplicationandNursingtothePatientsintheTreatmentofMaintenanceHemodialysisThroughHemodialysisCombinedHemoperfusion
3、LIUttuan—wen(ShanxiProvinceHospitalofTraditionalChineseMedicine,Xi’aa710003,China)【Abstract】ObjectiveTodiscusstheapplicationandnursingpointamongthepatientswithmaintenancehe—modialysisthroughtheconnectionofdialyzerandperfusiondevice.Methods36patientswithmaintenancehemod
4、i—alysiswererandomlydividedinto2groups.Thepatientsintheexperimentgroupweretreatedthroughtheconnectionofdialyzerandperfusiondeviceoncepermonthandacceptedconventionalhemodialysistwice.Thepatientsinthecontrolgroupacceptedconventionalhemodialysisthreetimespermonth,anticoag
5、ulatedwithheparinandusedNaOHasdialyzeratthespeedof500ml/min.Beforeandafterthetreatmentmiddlemo]ecularsubstances,BUN,creati—nine,BP,andclinicalsymptomweretested.ResultsThroughtheclinicalohsmwationfortwomonthspruritusinex—perimentgroupwassignificantlyimprovedwithstableBP
6、,theclearanceofmiddlemolecularsubstanceswashigherthanthatofthecontrolgroup.ConclusionThecombinedapplicationondialyzerandperfusiondevicecouldenhancetheclearancerateofmiddlemolecularsubstances,improveeffectivelypruritus,refractoryhypertension,sleeping,andappetite,andmake
7、upthedisadvantageofsimplehemodialysis.【Keywords】maintenancehcmodialysis;hemoperfusion近年來,血液透析被廣泛應用,血液凈化技術也被漸延長。然而,長期以來許多中分子物質(zhì)在體內(nèi)堆積,不斷完善和提高,維持性血液透析患者的生存時間逐導致很多并發(fā)癥的發(fā)生,嚴重影響著患者的生活質(zhì)量作者單位:710003西安,陜西省中醫(yī)醫(yī)院通訊作者:剃煥文,E-mail:chenhongmei@livzon-[ivzon—swci.COI1————40-.——透析與人工器官200
8、9年9月(第20卷)第3期和生存時間,常規(guī)血液透析對其治療效果很不理想。析器為金寶8LR,透析液為碳酸氫鹽透析液,灌流器選為此,我們采用血液透析聯(lián)合血液灌流對我院36例患用麗珠生物醫(yī)用材料有限公司生產(chǎn)的HA一130型樹脂者進行了治療,