无肝素血液透析在临床中的应用分析

The Application Analysis of Hemodialysis without Heparin in Clinic

目的分析研究高危出血患者采用无肝素血液透析的临床效果。方法抽取2011年1月~2013年8月在我院收治的患有急慢性肾功能衰竭患者30例,采取随机抽取模式,随机分为实验组和对照组,每组各15例。对照组对患者采取低分子肝素抗凝治疗,实验组对患者采取无肝素血液透析治疗,对两组临床透析效果给予对比分析。结果实验组患者出血得到有效控制,其临床症状得到显著改善,实验组BUN清除率、超滤总量以及透析器残余容量明显优于对照组,两组间差异具有统计学意义(<0.05)。结论对高危出血采用无肝素血液透析治疗,可以获得明显的临床效果,具有临床推广价值。

Objective To analyze the clinical ef ect of treating high risk hemorrhage with hemodialysis without heparin.Methods Choosed 30 patients with acute or chronic renal failurefrom Jan.2011 to Aug.2013 to divide into study group and control ed group.Patients in control ed group were treated with low molecular weight heparin anticoagulation therapy,and the study group were treated with hemodialysis without heparin,compared the ef ect of these two groups.Results The hemorrhage was ef ectively controlled and the clinical symptoms weresignificantly improved in study group.The clearance rate of BUN,the ultrafiltration quantity and the residual volumes of dialyser were al significantly bet er than control ed group(<0.05).Conclusion Treating high risk hemorrhage with hemodialysis without heparin is ef ective to improve the treatment ef ect,safe and worth to extend in clinic.