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目的:在血液透析联合血液灌流治疗卸载灌流器过程中,比较两种回血法的不同效果,寻求最安全、有效,简便的回血法。方法:选择2015年4月-2015年10月在我院血液净化中心进行HD+HP治疗的10名患者,共120例次卸载灌流器,采用随机对照法进行研究,对照组采用生理盐水回血法,实验组采用密闭式空气回血法。观察灌流器溢血情况,透析器及管路凝血情况,卸载时间,患者满意度等指标。结果:对照组采用生理盐水回血法卸载灌流器过程中发生凝血明显高于实验组采用密闭式空气回血法,差异有统计学意义。结论:密闭式空气回血法操作简单,能减少对凝血的影响,减少患者的血液损失;避免增加回水量,防止过多液体进入体内引起心衰;能减少透析器凝血,从而提高患者的满意度,临床效果满意,值得推广。
OBJECTIVE: To compare the different effects of the two methods of blood return in the process of hemodialysis combined with hemoperfusion for unloading perfusion, in order to find the safest, most effective and simple method of blood return. Methods: From April 2015 to October 2015, 10 patients who underwent HD + HP treatment in our hospital’s blood purification center were enrolled in this study. A total of 120 cases of unloading perfusion device were studied by randomized controlled trial. The control group was treated with saline , The experimental group using closed air back to the blood method. Observed the overflow situation of the perfusion device, the dialyzer and the pipeline coagulation situation, the unloading time, the patient satisfaction index. Results: In the control group, the blood coagulation in the process of unloading perfusion with saline was significantly higher than that in the experimental group, the difference was statistically significant. Conclusion: Closed air back to the blood method is simple, can reduce the impact on blood clotting, reduce the patient’s blood loss; to avoid increasing the amount of back to prevent excessive liquid into the body cause heart failure; can reduce the dialyzer coagulation, thereby enhancing patient satisfaction Clinical results are satisfactory, it is worth promoting.