Critically ill patients are treated with CRRT and safe care with sodium citrate anticoagulation
重症患者行CRRT治疗运用枸橼酸钠抗凝的安全护理

摘要

目的 探究在针对重症患者实施连续性肾脏替代治疗（CRRT）时，运用枸橼酸钠进行抗凝处理过程中的安全护理的效果。方法 本研究纳入我院收治的70例行CRRT治疗的重症患者作为研究对象。采用随机数字表法进行分组，将其均衡分配至对照组（35例，实施常规护理）与研究组（35例，实施安全护理）。对比两组的护理效果。结果 与对照组相比，研究组患者的凝血功能指标显著更优，其过滤器平均使用时长及体内滤除水分总体积量均表现更佳，且不良反应发生率明显更低，差异有统计学意义（P＜0.05）。结论 于重症患者行CRRT治疗采用枸橼酸钠抗凝处理后，强化安全护理措施不仅能够有效防范不良事件的发生，还可显著提升治疗效果，同时延长滤器的使用周期。

Abstract

Objective To investigate the effect of safe nursing during anticoagulation treatment with sodium citrate in the implementation of continuous renal replacement therapy (CRRT) in critically ill patients.
Methods This study included 70 critically ill patients treated with CRRT in our hospital. The random number table method was used to divide the groups into the control group (35 cases, with usual care) and the study group (35 cases, with safety care). The nursing effects of the two groups were compared.
Results Compared with the control group, the coagulation function indexes of the patients in the study group were significantly better, the average time of filter use and the total volume of water filtered in the body were better, and the incidence of adverse reactions was significantly lower, and the difference was statistically significant (P<0.05).
Conclusion   After CRRT treatment with sodium citrate anticoagulation in critically ill patients, intensive safety nursing measures can not only effectively prevent the occurrence of adverse events, but also significantly improve the treatment effect and prolong the service life of the filter.