维持血液透析患者血液灌流凝血原因及护理进展
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摘要
血液灌流是血液净化的有效治疗方式,对于大中分子以及蛋白结合性毒素均具有较好的清除效果。但是在血液灌流治疗的过程中容易引发凝血现象,不仅会影响疾病的治疗效果,同时给患者带来额外的伤害。因此探讨分析血液灌流治疗过程中患者发生凝血现象的原因以及相应护理对策,最大程度降低血液灌流过程中凝血现象的发生,可有效保障患者的治疗效果。很多专家学者针对血液灌流凝血原因以及护理措施也开展了大量的理论和临床研究工作,取得了一些新进展。本文对近些年关于患者血液灌流凝血原因分析及护理进展进行综述,以期为临床血液灌流治疗患者凝血并发症的预防提供借鉴。
Hemoperfusion is an effective treatment for blood purification, which has good clearance effect on large and medium molecules and protein-binding toxins. But in the process of hemoperfusion treatment,coagulation is easy to cause, which will not only affect the therapeutic effect of the disease, but also bring additional harm to the patients. Therefore, to explore and analyze the causes of coagulation and the corresponding nursing countermeasures in the process of hemoperfusion treatment, and to minimize the occurrence of coagulation in the process of blood pressure perfusion can guarantee the therapeutic effect of patients. Many experts and scholars have also carried out a lot of theoretical and clinical research on the causes of blood perfusion and coagulation and nursing measures, and made some new progress. This article reviews the cause analysis and nursing progress of hemoperfusion and coagulation in recent years, in order to provide reference for the prevention of coagulation complications in clinical hemoperfusion treatment.
Hemoperfusion is an effective treatment for blood purification, which has good clearance effect on large and medium molecules and protein-binding toxins. But in the process of hemoperfusion treatment,coagulation is easy to cause, which will not only affect the therapeutic effect of the disease, but also bring additional harm to the patients. Therefore, to explore and analyze the causes of coagulation and the corresponding nursing countermeasures in the process of hemoperfusion treatment, and to minimize the occurrence of coagulation in the process of blood pressure perfusion can guarantee the therapeutic effect of patients. Many experts and scholars have also carried out a lot of theoretical and clinical research on the causes of blood perfusion and coagulation and nursing measures, and made some new progress. This article reviews the cause analysis and nursing progress of hemoperfusion and coagulation in recent years, in order to provide reference for the prevention of coagulation complications in clinical hemoperfusion treatment.
引文
[1]孟婷婷,张媛,江涛.预见性护理干预对维持性血液透析患者血流灌流凝血事件的影响[J].血栓与止血学,2017,23(2):330-332.
[2]王笑丽,蔡永平,杨秀文.循证护理在预防血液透析联合血液灌流治疗中凝血的作用[J].中国医药指南,2017,15(27):229-230.
[3]柯比努尔·吐尔逊,韩丹,张跃新.血浆灌流对肝衰竭患者凝血功能影响特点分析[J].实用肝脏病杂志,2017,20(5):542-545.
[4]徐小林.不同血流量血液灌流联合血液透析治疗尿毒症患者的疗效观察[J].临床合理用药杂志,2017,10(29):5-6.
[5]雷淑慧,赵仿,王延欢,等.不同肝素剂量对农药中毒患者血液灌流后血小板及凝血的影响[J].现代医药卫生,2017,33(11):1622-1624.
[6]王盖昊,刘凯辉,张潇艺,等.血浆置换联合血浆灌流治疗急性肝衰竭的临床疗效分析[J].胃肠病学和肝病学杂志,2017,26(11):1294-1297.
[7]袁亚萍.调整肝素量、透析液温度、血流速度在血液灌流中抗凝效果观察[J].当代护士,2017(3):132-134.
[8]刘世专.连续性肾脏替代治疗联合血液灌流在ICU脓毒血症患者中的效果[J].中国医学创新,2017(20):43-46.
[9]车雨欣.不同血流量血液灌流与血液透析联合治疗尿毒症患者的临床对比研究[J].中国继续医学教育,2017,9(1):130-131.
[10]唐业莹,李家燕,黄玲,等.改良血液灌流预冲法在维持性血液透析患者治疗中的应用[J].护理实践与研究,2017,14(7):141-142.
[11]曹婷,陈春香.血液灌流串联血液透析治疗常见并发症和护理对策[J].当代护士(旬刊),2017(2):148-149.
[12]龙玲玲,马志芳,王沙沙,等.密闭式双联血液透析用体外循环管路在血液透析联合血液灌流治疗中的应用[J].转化医学杂志,2018,7(2):90-92.
[13]蒋光琼,陈珍,蔡佳,等.血浆滤过透析联合血浆灌流治疗肝衰竭的临床效果[J].现代医药卫生,2017,33(11):1674-1675.
[14]韩海霞,陈凯,魏肖星,等.血液灌流中两种不同预冲方法的效果比较[J].中国卫生标准管理,2017,8(2):69-70.
[15]王媛媛,付航宇.两种预冲方法在血液透析联合血液灌流中的临床应用效果[J].河北医药,2017,39(8):1278-1280.
[16]郭沁,米亚赛尔·力提甫,肖春红.高浓度肝素盐水封管用于重症急性胰腺炎血液灌流的临床价值[J].现代消化及介入诊疗,2017(4):495-497.
[2]王笑丽,蔡永平,杨秀文.循证护理在预防血液透析联合血液灌流治疗中凝血的作用[J].中国医药指南,2017,15(27):229-230.
[3]柯比努尔·吐尔逊,韩丹,张跃新.血浆灌流对肝衰竭患者凝血功能影响特点分析[J].实用肝脏病杂志,2017,20(5):542-545.
[4]徐小林.不同血流量血液灌流联合血液透析治疗尿毒症患者的疗效观察[J].临床合理用药杂志,2017,10(29):5-6.
[5]雷淑慧,赵仿,王延欢,等.不同肝素剂量对农药中毒患者血液灌流后血小板及凝血的影响[J].现代医药卫生,2017,33(11):1622-1624.
[6]王盖昊,刘凯辉,张潇艺,等.血浆置换联合血浆灌流治疗急性肝衰竭的临床疗效分析[J].胃肠病学和肝病学杂志,2017,26(11):1294-1297.
[7]袁亚萍.调整肝素量、透析液温度、血流速度在血液灌流中抗凝效果观察[J].当代护士,2017(3):132-134.
[8]刘世专.连续性肾脏替代治疗联合血液灌流在ICU脓毒血症患者中的效果[J].中国医学创新,2017(20):43-46.
[9]车雨欣.不同血流量血液灌流与血液透析联合治疗尿毒症患者的临床对比研究[J].中国继续医学教育,2017,9(1):130-131.
[10]唐业莹,李家燕,黄玲,等.改良血液灌流预冲法在维持性血液透析患者治疗中的应用[J].护理实践与研究,2017,14(7):141-142.
[11]曹婷,陈春香.血液灌流串联血液透析治疗常见并发症和护理对策[J].当代护士(旬刊),2017(2):148-149.
[12]龙玲玲,马志芳,王沙沙,等.密闭式双联血液透析用体外循环管路在血液透析联合血液灌流治疗中的应用[J].转化医学杂志,2018,7(2):90-92.
[13]蒋光琼,陈珍,蔡佳,等.血浆滤过透析联合血浆灌流治疗肝衰竭的临床效果[J].现代医药卫生,2017,33(11):1674-1675.
[14]韩海霞,陈凯,魏肖星,等.血液灌流中两种不同预冲方法的效果比较[J].中国卫生标准管理,2017,8(2):69-70.
[15]王媛媛,付航宇.两种预冲方法在血液透析联合血液灌流中的临床应用效果[J].河北医药,2017,39(8):1278-1280.
[16]郭沁,米亚赛尔·力提甫,肖春红.高浓度肝素盐水封管用于重症急性胰腺炎血液灌流的临床价值[J].现代消化及介入诊疗,2017(4):495-497.