Comparison of different nursing methods in double plasma exchange treatment on multiple myeloma
10.3760/cma.j.issn.1674-2907.2011.21.002
- VernacularTitle:不同护理方案用于双重血浆置换治疗多发性骨髓瘤的效果比较
- Author:
Ya-Nan SUN
1
;
Yan-Zhuo WANG
Author Information
1. 中国医科大学附属第一医院
- Keywords:
Plasma exchange;
Multiple myeloma;
Nursing
- From:
Chinese Journal of Modern Nursing
2011;17(21):2484-2486
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of different nursing methods in double plasma exchange treatment on multiple myeloma. Methods 30 patients with multiple myeloma were randomly assigned to the experimental group (EG) and the control group (CG), 15 patients in each group. In the CG, the canal was washed by the priming fluids according to the machine requirements; patients were given the LMWHC at the beginning of the treatment. During the treatment, the canal was washed discontinuously by normal saline (NS).An improved priming method was adopted in the EG: the canal was washed with NS included heparin, patients were given the LMWHC. After 20 - 30 mins, the treatment started. Squeeze the artery pot discontinuously during the treatment; compare the clotting situation and treatment parameters of two groups. Results Level Ⅱ - Ⅲ clotting incidence rate of EG was 23.3% and of CG was75.0%. The difference between two groups was statistically significant (X2 =37.95,P ＜0. 05); TMP of CG were higher than those of EG[(17.32 ±5. 22)mm Hg vs (4.73 ± 3.27) mm Hg, t = 9. 76, P ＜ 0. 05]; total NS amount used, replacement plasma, waste plasma and treatment time of CG were lower than EG (P ＜ 0. 05). Conclusions Compared with CG, the priming methods, anticoagulation solutions and washing methods of EG have better control on the occurrence of clotting and require less amount of washing NS to reduce the burden on kidney without influencing the effect of the treatment.
