摘要
目的研究连续性血液净化中患者相关凝血风险及护理预防措施。方法选择2014年3月至2015年9月我院80例连续性血液净化患者作为研究对象,采用随机数表法分为两组,每组40例。对照组行常规专科护理,观察组在对照组基础上行预见性护理,观察两组患者治疗前后患者凝血功能及滤器管路凝血情况。结果观察组治疗后凝血酶原时间(PT)和D二聚体(D-D)显著低于治疗前和对照组治疗后(P<0.05)。活化部分凝血活酶时间(a PTT)和凝血酶时间(TT)显著高于治疗前和对照组治疗后(P<0.05)。观察组滤器和管路凝血发生率为5%,显著低于对照组的20%,(P<0.05)。结论连续性血液净化配合预见性护理能显著改善患者凝血功能紊乱状况,在降低滤器和管路凝血发生率方面也具有较高应用价值。
Objective To analyze related risk of coagulation and care and prevention measures of patients in continuous blood purification. Methods 80 patients with continuous blood purification in our hospital from March 2014 to September 2015 were selected as the research subjects,they were divided by random number table into two groups( each 40 cases). The control group received routine nursing care,the observation group received predictive nursing on the basis of the control group,coagulation function and filter line coagulation of two groups before and after the treatment were observed. Results Prothrombin time( PT)and D-dimer in the observation group after the treatment were significantly lower than that before the treatment and the control group after the treatment( P < 0. 05). Activated partial thromboplastin time( a PTT) and thrombin time( TT) were significantly higher than that before the treatment and the control group after the treatment( P < 0. 05). Incidence of filter and pipeline coagulation in the observation group was 5%,which was significantly lower than the control group( 20%)( P < 0. 05). Conclusion Continuous blood purification combined with predictive nursing can significantly improve coagulopathy of patients,it also has a higher application value in reducing incidence of filter and pipeline coagulation.
出处
《血栓与止血学》
2017年第1期140-142,共3页
Chinese Journal of Thrombosis and Hemostasis
关键词
连续性血液净化
凝血风险
护理预防
Continuous blood purification
Risk of coagulation
Care and prevention
