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| Application effect of two-stage citric acid anticoagulant therapy in hem-odialysis patients with active bleeding or high risk of bleeding |
| WU Chunxiang LIU Chunxiao ZHANG Cuiyong LUO Shuwen WEI Xinyue LUO Chunming |
| Department of Nephrology, Liuzhou Worker’s Hospital, Guangxi Zhuang Autonomous Region, Liuzhou 545000, China |
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Abstract Objective To investigate the application effect of two-stage citric acid anticoagulant therapy in hemodialysis patients with active bleeding or high risk of bleeding. Methods A total of 100 hemodialysis patients with active bleeding or high risk of bleeding admitted to Liuzhou Worker’s Hospital, Guangxi Zhuang Autonomous Region from May 2021 to March 2022 were selected as the study objects, and they were divided into study group and control group according to random number table method, with 50 cases in each group. The control group was treated with one-stage citric acid anticoagulant therapy, while the study group was treated with two-stage citric acid anticoagulant therapy. The dialysis time, anticoagulant efficiency of dialyzer, anticoagulant efficiency of intravenous pot of the two groups were compared, and the hemodialysis blood gas index, peripheral blood serum electrolyte level, and urea clearance at the end of dialysis were compared between the two groups. The occurrence of adverse events in both groups was recorded. Results The dialysis time of the study group was longer than that of the control group, and the anticoagulant effect of intravenous pot was higher than that of the control group, the differences were statistically significant (P＜0.05). After dialysis, the blood pH value and HCO3- of the two groups were higher than those before treatment, and the differences were statistically significant (P＜0.05). The online Kt/V value of the study group was higher than that of the control group, and the difference was statistically significant (P＜0.05). During dialysis, there was no significant difference in the total incidence of adverse events between the two groups (P＞0.05). Conclusion For hemodialysis patients with active bleeding or high risk of bleeding, two-stage citric acid anticoagulant therapy is superior to one-stage citric acid anticoagulant therapy in terms of dialysis time, anticoagulant efficiency of intravenous pot, and urea clearance in hemodialysis.
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