【摘要】 目的探讨减少血液透析病人出现透析器首次使用综合征 (FUS)的护理方法。方法将首次使用透析器的 10 8例病人随机分为治疗组与对照组各 5 4例。治疗组在血液透析前予地塞米松 5mg加入 0 .9%氯化钠注射液 5 0 0ml中循管 10min ;对照组仅用 0 .9%氯化钠注射液 5 0 0ml循管 10min。结果治疗组FUS发生率 3.7% ,对照组31.5 % ,两组比较 ,差异有显著性意义 (P <0 .0 1) ;两组均无出血征象 ,透析开始后 1、2hAPTT值比较 ,差异均无显著性意义 (P >0 .0 5 )。结论血液透析病人第 1次透析或更换不同类型透析器时使用地塞米松 5mg加入 0 .9%氯化钠注射液 5 0 0ml中循管 10min的预处理方式能减少FUS的发生 ,且不增加出血风险。更多还原

【Abstract】 Objective To discuss the nursing care of dialyzer first-use related syndrome (FUS) in hemodialysis patients. Methods One hundred and eight patients were divided into two groups (n=54 in each group). The patients in the treatment group were given with 5 mg dexamethasone into 500 ml 0.9% normal saline to keep recycle for 10 min, while those in the control group were given with 0.9% normal saline alone to keep recycle for 10 min.Results In the treatment group, the incidence of FUS was 3.7%, significantly lower than that in the control group( 31.5%). No hemorrhage occurred in the both two groups. 1, 2 h after hemodialysis, there was no significant difference in APTT between the two groups (P>0.05).Conclusion The preconditioning mode of 5 mg dexamethasone into 500 ml 0.9% normal saline could reduce occurrence of FUS, but not increase the risk of hemorrhage.更多还原