CVVH治疗两种抗凝方式的比较

Comparison of two kinds of anticoagulation in the treatment of CVVH

目的:持续性血液净化治疗是ICU常用的治疗手段之一,它包括CVVH(continuous veno-venous hemofiltration)、CVVHDF(continuous veno-venous hemodiafiltration)、SLED(sustained low-efficiency dialysis)等多种治疗方式。其中以CVVH应用最为广泛,依据操作者的经验及设备条件,可运用全身肝素化、低分子肝素抗凝及体外枸橼酸抗凝等方式进行抗凝治疗,但较少有人对上述抗凝方式进行比较。本研究对ICU 2011年2月-2013年1月进行CVVH治疗的患者进行分组,采用两种不同的方式进行抗凝,观察两组的并发症及死亡率,以比较两种抗凝方式的优劣。

Continuous purification treatment of blood is one of the commonly used ICU treatment,it includes CVVH(continuouveno-venous hemofiltration),CVVHDF(continuous veno-venous hemodiafiltration),SLED(sustained low-effi-ciency dialysis) another treatment methods.In which CVVH is the most widely used,on the basis of the operator's experience and equipment,we caused systemic heparin,low molecular weight heparin and extracorporeal citrate anticoagulation and other methods to take thanticoagulant therapy,but few people to compare the above anticoagulation methods.In this paper,we selected the ICU patientwho had CVVH treatment from February 2011 to January 2013,we used two different methods of anticoagulation,and observed thcomplications and mortality in two groups,to compare two kinds of anticoagulation modes.