Efficacy and safety of different kinds of anticoagulation methods in hemodialysis patients with high risk of hemorrhage
10.3760/cma.j.issn.1672-7088.2011.11.047
- VernacularTitle:高危出血患者血液透析不同的抗凝护理方法和安全性比较
- Author:
Ying TANG
;
Linfeng DAI
;
Bibo WU
;
Jinjin LIU
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
High risk of hemorrhage;
Anticoagulation;
Heparin
- From:
Chinese Journal of Practical Nursing
2011;27(11):26-28
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy, safety and feasibility of the four kinds of anticoagulation method in hemodialysis patients with high risk of hemorrhage. Methods 128 patients with high risk of hemorrhage who had undergone hemodialysis were randomly divided into four groups. In group A, 68patients were resorted with 30% regional sodium citrate anticoagulation(RCA). In group B, 60 patients were treated with local heparin anticoagulation. In group C, 64 patients were treated with low molecular weight heparin (LMWH). In group D, 66 patients received no heparinization hemodialysis. The changes of bleeding, clotting function, adverse effect and nursing strategies were studied. Results All patients of group A completed regular hemodialysis with satisfactory indices, 6 cases with bleeding and primary bleeding aggravated in group B, 8 cases with bleeding and primary bleeding aggravated in group C, 8 cases occurred grade three coagulation and finished dialysis in group D. 3 cases in group A and 2 cases in group B occurred adverse reaction, but no adverse reaction was seen in group C and D. Conclusions RCA is safe,effective and can be easily handled in regular hemodialysis. It is an ideal dialysate for hemodialysis in patients with high risk of hemorrhage.
