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目的探讨无肝素技术在肾衰竭合并高危出血患者血液透析中的应用效果。方法选取2011—2013年九江学院附属医院收治的肾衰竭合并高危出血患者80例,随机分为观察组与对照组,各40例。对照组患者给予常规治疗,观察组患者给予无肝素技术治疗,观察比较两组患者的肾功能改善情况及并发症发生情况。结果观察组患者的肾功能改善率高于对照组,非出血性肾衰竭并发症发生率、出血性肾衰竭并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论无肝素技术在肾衰竭合并高危出血患者血液透析中的应用有效降低了患者并发症发生率,极大改善了患者的肾功能。
Objective To explore the application of heparin-free technique in hemodialysis patients with renal failure and high-risk hemorrhage. Methods Eighty patients with renal failure and high-risk bleeding admitted to Jiujiang University Hospital from 2011 to 2013 were randomly divided into observation group and control group, 40 cases in each group. Patients in the control group were given routine treatment. Patients in the observation group were given heparin-free therapy. The improvement of renal function and complication in the two groups were observed and compared. Results The improvement rate of renal function in observation group was higher than that in control group. The incidence of non-hemorrhagic renal failure and complication of hemorrhagic renal failure were lower than those in control group (P <0.05). Conclusion The application of heparin-free technique in hemodialysis of patients with renal failure and high-risk hemorrhage can effectively reduce the incidence of complications and improve the renal function of patients.