2.5%枸橼酸钠溶液在血液透析临时留置导管封管中的应用

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

黄伟坚¹ 

关键词: 血液透析;    肝素钠;    枸橼酸钠;    封管;   

DOI  :  10.11997/nitcwm.201608003

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To observe the efficacy and safety of 2.5% sodium citrate lock solution in temporary hemodialysis catheter. Methods Sixty maintenance hemodialysis patients with catheters were randomly divided into the control group and the observation group, with 30 cases in each group. The patients in the control group received heparin sodium lock solution and patients in the observation group received 2.5% sodium citrate lock solution for catheters after each dialysis session for 6 months. The catheter indwelling time, catheter blockage, catheterrelated complications, costs in catheter sealing were compared between two groups. Results There was no significant difference in catheter indwelling time and blood flow between two groups(P＞0.05). The observation group had lower incidence of catheterrelated bleeding, catheterrelated infection and costs in catheter sealing compared with the control group (P＜0.05). There was no significant difference in catheter blockage between two groups (P＞0.05).Conclusion Catheter sealing with a solution containing 2.5% sodium citrate may significantly reduce the incidence of catheterrelated bleeding and infection, showing a higher safety and efficiency.

【 授权许可】

CC BY-NC