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不同体位对维持性血液透析患者颈内置管术后出血效果的影响

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目的:探讨维持性血液透析患者颈内置管术后不同体位对术后出血效果的影响.方法:选取本院2014年1月~2015年9月收治的维持性血液透析患者共60例,随机分为A、B两组,各30例,每组采用不同的体位,A组为半坐卧位,B组为自由舒适卧位,比较两组患者术后出血情况.结果:半坐卧位患者出血情况明显低于自由舒适卧位组,两组比较有统计学意义(P<0.05).结论:维持性血液透析患者颈部置管术术后6小时采取半坐卧位有利于减少颈部置管术后出血.
Effect of Different Body Positions on the Postoperative Bleeding of Internal Carotid Canal in Patients with Maintenance Hemodialysis
Objective:To investigate the effect of different body positions on postoperative bleeding of internal carotid canal in patients with maintenance hemodialysis.Methods:60 cases of patients with maintenance hemodialysis treated in our hospital from January 2014 to September 2015 were randomly divided into two groups:group A and group B,with 30 cases in each.Patients in each group took different body positions:Group A took semi reclining position,while Group B took free and comfortable lying position.Compared the patients in these two groups with their postoperative bleeding.Results:Bleeding in patients with semi reclining position was significantly less than that of patients with free and comfortable lying position.The comparison of the two groups was statistically significant (P < 0.05).Conclusion:Postoperative bleeding of internal carotid canal in patients with maintenance hemodialysis can be reduced by taking semi reclining position in six hours after operation.

maintenance hemodialysisblood purificationbody positioninternal carotid canal operationpostoperative hemorrhage

任墨樱、石敏、韦娟、谭学惠

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贵阳中医学院第二附属医院肾内科,贵州贵阳550001

维持性血液透析 血液净化 体位 颈内置管术 术后出血

2016

贵阳中医学院学报
贵阳中医学院

贵阳中医学院学报

影响因子:1.18
ISSN:1002-1108
年,卷(期):2016.38(6)
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