探讨B超引导在急诊重症患者连续肾脏替代治疗股静脉血滤管留置中的临床价值及安全性

发布时间：2017-12-28 09:03

本文关键词：探讨B超引导在急诊重症患者连续肾脏替代治疗股静脉血滤管留置中的临床价值及安全性　出处：《中国医疗设备》2017年03期 　论文类型：期刊论文

【摘要】：目的探究B超引导在急诊连续肾脏替代治疗(Continuous Renal Replacement Therapy,CRRT)股静脉血滤管留置中的作用效果以及安全性,并分析其应用于临床的价值,为疾病的治疗康复提出指导。方法回顾性选取2015年1月~2016年1月期间,我院急诊收治的CRRT患者共128例,按照随机数表法将其分为对照组(64例)和观察组(64例),对照组采用B超引导,而观察组采用常规盲穿,记录两组患者治疗的结果以及安全性,并对记录数据作统计学的处理分析。结果观察组的一次穿刺成功率,置管成功率,手术操作时间以及不良反应等情况均要好于对照组,差异具有统计学意义(P0.05)。结论相比于常规盲穿的方法,B超引导在急诊CRRT患者治疗中效果显著,手术操作时间短,置管成功率高,同时不良反应少,安全性好,适合在临床上推广使用,广大医学研究人员应当予以关注。
[Abstract]:Objective to explore the ultrasound guidance in the emergency of continuous renal replacement therapy (Continuous Renal Replacement Therapy, CRRT) the effect of indwelling femoral vein blood filter and safety, and to analyze its clinical application value, provide guidance for the treatment and rehabilitation of disease. Methods from January 2015 ~2016 year in January period, our hospital 128 cases of CRRT patients, randomly divided into control group (64 cases) and observation group (64 cases), the control group using ultrasound guidance, while the observation group used conventional blind, record the results of the two groups and safety, and to record data for statistical analysis processing. Results the success rate of puncture, success rate of intubation, operative time and adverse reactions in the observation group were all better than those in the control group, the difference was statistically significant (P0.05). Conclusion compared with the conventional way of blind wear, B-ultrasound guidance has obvious effect in the treatment of emergency CRRT patients, with shorter operative time, higher success rate of catheterization, less adverse reactions and safety, which is suitable for clinical use. So the majority of medical researchers should pay attention to it.
【作者单位】：内蒙古医科大学附属医院急诊科;
【分类号】：R459.7
【正文快照】： 引言连续肾脏替代治疗(Continuous Renal Replacement The-rapy,CRRT)又称之为连续血液净化疗法(Continue Blood Purification Therapy,CBPT),是治疗急诊重症患者的一种良好的方法[1-2],在整个危重病医学及中毒急救医学领域均具有广泛的应用。急诊重症患者往往处于疾病的危

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