Palindrome H新型肝素涂层导管与Permcath导管临床应用效果比较
发布时间：2018-11-10 19:45
【摘要】：目的比较Palindrome H肝素涂层带隧道带涤纶套导管和Permcath带隧道带涤纶套导管在血液透析充分性、导管功能及并发症的异同。方法选取维持性血液透析使用带隧道带涤纶套导管的患者47例,最终以使用Permcath导管临床资料完整21例为Permcath组,使用Palindrome H肝素涂层导管26例为Palindrome H肝素涂层组,对比两组尿素清除率(Kt/V)、尿素下降率(URR)、导管相关感染率、导管功能不良率等指标。结果两组患者年龄差异无统计学意义[(62±19.72)岁vs(64±12.22)岁,P=0.728]。Palindrome H肝素涂层导管组患者Kt/V、URR均优于Permcath组(P=0.000),Palindrome H肝素涂层导管组患者导管功能不良率明显低于Permcath组(P=0.000),Palindrome H肝素涂层导管组患者导管相关感染率低于Permcath组(P=0.048)。结论 Palindrome H肝素涂层带隧道带涤纶套的导管在透析充分性、导管功能不良率、导管相关感染率等方面均优于非肝素涂层Permcath导管,在带隧道带涤纶套导管的应用中,Palindrome H肝素涂层导管比Permcath导管更有优势。
[Abstract]:Objective to compare the adequacy, function and complications of Palindrome H heparin coated tunnel duct with polyester sheath and Permcath tube with tunnel band in hemodialysis. Methods A total of 47 patients undergoing maintenance hemodialysis were enrolled in this study. 21 patients with complete clinical data of Permcath catheter were selected as Permcath group and 26 patients with Palindrome H heparin coated catheter as Palindrome H heparin coated group. Urea clearance rate (Kt/V), urea decline rate, (URR), catheter-related infection rate and ductal dysfunction rate were compared between the two groups. Results there was no significant difference in age between the two groups [(62 卤19.72) years old vs (64 卤12.22) years old, P _ (0.728)] the Kt/V,URR of heparin coated catheter group was better than that of Permcath group (P < 0. 000). The incidence of ductal dysfunction in Palindrome H heparin coated catheter group was significantly lower than that in Permcath group (P 0. 000), Palindrome H heparin coated catheter group was lower than that in Permcath group (P0. 048). Conclusion Palindrome H heparin coated Permcath catheter with tunnel and polyester sheath is superior to non-heparin coated Permcath conduit in dialysis adequacy, ductal dysfunction rate and catheter-related infection rate. Palindrome H heparin coated catheter is superior to Permcath catheter.
【作者单位】： 佛山市第一人民医院(中山大学附属佛山医院)肾内科;
【基金】：佛山市卫生和计生局医学科研课题(编号:2015187) 佛山市科技创新专项资金项目(编号:2013AG10008)
【分类号】：R692.5
，
本文编号：2323430
[Abstract]:Objective to compare the adequacy, function and complications of Palindrome H heparin coated tunnel duct with polyester sheath and Permcath tube with tunnel band in hemodialysis. Methods A total of 47 patients undergoing maintenance hemodialysis were enrolled in this study. 21 patients with complete clinical data of Permcath catheter were selected as Permcath group and 26 patients with Palindrome H heparin coated catheter as Palindrome H heparin coated group. Urea clearance rate (Kt/V), urea decline rate, (URR), catheter-related infection rate and ductal dysfunction rate were compared between the two groups. Results there was no significant difference in age between the two groups [(62 卤19.72) years old vs (64 卤12.22) years old, P _ (0.728)] the Kt/V,URR of heparin coated catheter group was better than that of Permcath group (P < 0. 000). The incidence of ductal dysfunction in Palindrome H heparin coated catheter group was significantly lower than that in Permcath group (P 0. 000), Palindrome H heparin coated catheter group was lower than that in Permcath group (P0. 048). Conclusion Palindrome H heparin coated Permcath catheter with tunnel and polyester sheath is superior to non-heparin coated Permcath conduit in dialysis adequacy, ductal dysfunction rate and catheter-related infection rate. Palindrome H heparin coated catheter is superior to Permcath catheter.
【作者单位】： 佛山市第一人民医院(中山大学附属佛山医院)肾内科;
【基金】：佛山市卫生和计生局医学科研课题(编号:2015187) 佛山市科技创新专项资金项目(编号:2013AG10008)
【分类号】：R692.5
，
本文编号：2323430
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