不同血管通路对人工肝血浆置换治疗效果的比较.pdfVIP

492 Medical Science Journal of Central South China,Sep2013,Vol.41,No.5 文章编号:2095-1116(2013)05-0492-03 ·临床医学· 不同血管通路对人工肝血浆置换治疗效果的比较 唐摇 简,周摇 艳 (南华大学附属第一医院感染科,湖南衡阳421001) 摘摇 要:摇 目的摇 探讨不同血管通路对人工肝血浆置换治疗效果的影响。 摇 方法摇 回顾性选择76例慢性肝 功能衰竭治疗患者,按照治疗方法不同分为股静脉置管和直接血管穿刺组,共进行124 次血浆置换治疗,比较两组 患者人工肝血浆置换治疗前后的总胆红素、转氨酶下降情况以及相应并发症发生情况。 摇 结果摇 两组患者在人工 肝血浆置换治疗前后总胆红素及转氨酶均有明显下降,但两组之间无明显统计学差异(P 0.05)。 股静脉置管组 在减轻患者疼痛、出血方面优于直接血管穿刺组(P 0.05),感染、堵管方面无明显差异(P 0.05)。 摇 结论摇 良 好的血管通路对人工肝血浆置换治疗成功有关键作用,股静脉置管是一种较为安全、方便、理想的血管通路建立 方式。 关键词:摇 肝功能衰竭;摇 股静脉置管;摇 血浆置换 中图分类号:R575郾3摇 摇 摇 文献标识码:A Comparison of Curative Effects of Different Vascular Access for Artificial Liver Plasma Exchange TANGJian,ZHOU Yan (Infection Department of the FirstAffiliated Hospital,University of South China, Hengyang,Hunan421001,China) Abstract:摇 Objective摇 To investigate the therapy effect of the two different vascular access of plasma exchange.摇 Methods摇 76 cases of patientswith chronicliverfailure causedby chronic severehepatitiswererandomly divided intotwo groups:femoral vein catheter group and direct puncture group.And all the subjects were dealt with a total of 124 times of therapy of plasmaexchange,andthenthelevelsof totalbilirubin,ALT aswell asthecorrespondingcomplicationsof thetwo groups before and after plasma exchange were compared.摇 Results摇 Both total bilirubin and transaminase of two groups were significantly decreased after plasma exchange treatment,but there were no significant differences between the two groups of patients.Femoral vein catheterizationwasadvanced inrelief of pain andreducingbleeding.Andt