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甲磺酸萘莫司他在血液透析中的抗凝效果研究

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目的:探究甲磺酸萘莫司他在血液透析中的抗凝效果.方法:选取2022年9月至2024年5月于本院接受血液透析治疗的患者81例,随机分为对照组和观察组,其中,对照组(n=41)患者抗凝剂选择肝素钠,观察组(n=40)患者抗凝剂选择甲磺酸萘莫司他.比较两组的抗凝有效率、凝血指标以及动脉穿刺点压迫止血时间.结果:观察组抗凝有效率高于对照组,但差异无统计学意义(P>0.05);两组PT、FIB水平差异均无统计学意义(P>0.05),而观察组TT、APTT水平及动脉穿刺点压迫止血时间均明显低于对照组,差异均具有统计学意义(P<0.05).结论:在接受血液透析治疗的患者中,应用甲磺酸萘莫司他具有较好的抗凝效果,对患者的凝血指标影响较小,同时可有效缩短动脉穿刺点压迫止血时间,值得临床推广应用.
Study of the anticoagulant effect of nafamostat mesylate in hemodialysis
Objective:To investigate the anticoagulant effect of nafamostat mesylate in hemodialysis.Methods:A total of 81 patients who underwent hemodialysis treatment in our hospital between September 2022 and May 2024 were selected and ran-domly assigned to a control group and an observation group.In the control group(n=41),heparin sodium was chosen as the anti-coagulant,while in the observation group(n=40),nafamostat mesylate was selected as the anticoagulant.The anticoagulant ef-fectiveness rate,coagulation parameters,and compression hemostasis time at the arterial puncture site were compared between the two groups.Results:The observation group exhibited a higher anticoagulant effectiveness rate compared to the control group,but the difference was not statistically significant(P>0.05).There were no statistically signif-icant differences in prothrombin time(PT)and fibrinogen(FIB)levels between the two groups(P>0.05).However,the observation group had significantly lower thrombin time(TT)and activated partial thromboplastin time(APTT)levels,as well as a shorter compression hemostasis time at the arterial puncture site,compared to the control group,with statistically significant differences(P<0.05).Conclusion:In patients undergoing hemodi-alysis treatment,the use of nafamostat mesylate demonstrates good anticoagulant efficacy with minimal impact on coagulation param-eters and can effectively shorten the compression hemostasis time at the arterial puncture site,making it worthy of clinical promotion and application.

nafamostat mesylatehemodialysisanticoagulation effect

陈峰、朱敏、周美林

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安庆市第二人民医院,安徽安庆 246000

甲磺酸萘莫司他 血液透析 抗凝效果

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(4)