Impact of three different concentration of heparin tube -sealing solution on the jugular vein integrated catheter in hemodialysis patients
10.3760/cma.j.issn.1008-6706.2016.20.033
- VernacularTitle:三种不同浓度肝素封管液对血液透析患者颈内静脉留置导管并发症的影响
- Author:
Ruming CHEN
- Publication Type:Journal Article
- Keywords:
Tube -sealing solution;
Jugular vein;
Indwelling catheter
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(20):3167-3170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the impact of three different concentration heparin tube -sealing solution on the jugular vein integrated catheter in hemodialysis(HD)patients.Methods 96 HD patients were selected and divided into three groups according to different treatments.Each group had 32 cases.Patients in A,B and C group received heparin sodium 30mg,40mg,60mg respectively.The degree of symptoms improvement and the complications in the three groups were evaluated.Results For bleeding,catheter position adverse,arrhythmia,air embolism, A group had 10 cases,11 cases,8 cases,5 cases;B group had 9 cases,8 cases,9 cases,4 cases;C group had 2 cases, 1 case,1 case,0 case.Compared with B group and A group,C group had lower complication,the difference was statis-tically significant(χ2 =6.667,10.42,4.706 and 5.450,4.706,7.680,all P <0.05 ).Compared with A group, B group had no statistically significant (χ2 =0.077,0.693,0.082,0.000,all P >0.05);For the infection and throm-bosis,A group had 10 cases,8 cases;B group had 9 cases,8 cases;C group had 1 case,1 case.Compared with B group and A group,C group had lower complication,the difference was statistically significant (χ2 =7.680,4.706,all P <0 .0 5 ).Compared with A group ,B group had no statistically significant (χ2 =0.077,0.000,all P >0.05 ). Conclusion Treatment with 60mg heparin saline solution for HD patients will help to improve symptoms in patients, and decrease complications,thus it is worth for further promotion in clinical practice.
