The clinical application of modified preflush in the treatment of CRRT without heparin for patients received dialysis with complication of cerebral hemorrhage
10.3969/J.ISSN.1672-8270.2017.07.027
- VernacularTitle:改良式预冲在透析并发脑出血患者行无肝素连续性肾脏替代治疗中的临床应用
- Author:
Yuanyuan WANG
;
Ying ZHU
- Keywords:
Modified preflush;
Dialysis;
Cerebral hemorrhage;
Heparin-free;
Continuous renal repl-acement therapy
- From:
China Medical Equipment
2017;14(7):107-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the clinical effect of modified preflush on the treatment of CRRT without heparin in patients received dialysis with complication of cerebral hemorrhage. Methods: 44 patients received dialysis with complication of cerebral hemorrhage were divided into control group (28 cases) and observation group (16 cases) according to the implemented time of modified preflush. A retrospective analysis was adopted to compare the effect of filter in blood coagulation grade and service life between conventional preflush (control group)and modified preflush (observation group). Results: The differences of I, II, III grade of blood coagulation between the two methods were significant (x2=12.020, P<0.05), and the differences of average service time of filter, transmembrane pressure(TMP), pressure of filter and value of pressure drawdown (ΔP) between the two methods also were significant (t=3.535, t=4.024, t=6.071, t=3.524, P<0.01). Besides, the difference of venous pressure (PV) between them was significant (t=2.166, P<0.05), while the differences of BFR, UFR and Pa between the two methods were not significant (t=0.263, t=1.162, t=0.258, P>0.05). Conclusion: Modified preflush method can make the fiber of filter to obtain more full stretch and soak, and it also can prolong the service of time, and decrease incidence of blood coagulation, and ensure curative effect and smooth process.
