透析器不同预冲方法预防首次使用综合征的效果观察

Effect observation of the dialyzer preshoot methods to prevent the first use syndrome

目的：观察两种不同预冲方法对血液透析患者首次使用综合征（FUS）的预防效果.方法：选取我院2009年1月～2011年12月进行血液透析的135例患者,随机将其分为观察组67例和对照组68例.观察组采用新透析器复用法,对照组采用常规方法处理新透析器,比较两组患者FUS发生情况及治疗依从率.结果：观察组与对照组均未发生A型FUS;观察组B型FUS发生率为0.11％,明显低于对照组的3.65％,两组比较差异有统计学意义（P＜0.05）.观察组患者治疗依从性为100％,优于对照组85.29％,两组比较差异有统计学意义（P＜0.05）.结论：新透析器复用法预防FUS效果好,患者治疗依从性高,在新透析器使用中可推广使用.

Objective：To observe the prevention effect of two different pre-rinsing methods used for the first time syndrome （FUS） in hemodialysis patients.Methods：135 cases in our hospital from January 2009 to December 2011 for hemodialysis patients,they were randomly divided into the observation group with 67 cases and control group with 68 cases.The observation group was treated with the new dialyzer reuse,the control group used conventional method to deal with the new dialyzer.Compared two groups of patients with FUS and the incidence of treatment adherence.Results：Observation group and control group did not occur to the A-type FUS.The observation group B-type FUS incidence 0.11%,significantly lower than the control group 3.65%,compared between the two groups,the difference was statistically significant （P 〈 0.05）.Patient＇s treatment compliance in observation group was 100%,it was better than the control group 85.29%,compared between the two groups,the difference was statistically significant （P 〈 0.05）.Conclusion：The new FUS dialyzer reuse prevention effect is good,the compliance of the patients with high,can be used in the new dialyzer in use.