两种封管液预防大鼠中心静脉导管置入后血栓形成效果比较
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女,硕士在读,护师

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国家自然科学基金项目(81860032);广西自然科学基金项目(2018GXNSFAA050081)


Comparison of the effect of two catheter locking solutions on prevention of central venous catheter-related thrombosis in rat model
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    摘要:

    目的 比较生理盐水和肝素盐水两种封管液对置入中心静脉导管大鼠血栓形成的预防效果。 方法 将40只SD大鼠随机分为生理盐水组和肝素盐水组各20只,通过构建中心静脉置管大鼠模型,模拟临床输液,每日分别予生理盐水和肝素盐水封管液进行导管维护,分别于第1、4、7、10、14天取材,观察大鼠血栓形成情况。 结果 导管留置期间,生理盐水组和肝素盐水组各有1只大鼠导管脱出,生理盐水组未发生堵管,其成栓率73.68%;肝素盐水组2例堵管,其成栓率78.95%。两组堵管率和成栓率比较,差异无统计学意义(均P>0.05)。显微镜下观察显示,血栓形成早期肝素盐水组严重程度低于生理盐水组,但后期生理盐水组轻于肝素盐水组。 结论 生理盐水和肝素盐水预防导管相关性血栓形成的效果无显著差异,但综合来看生理盐水要相对优于肝素盐水。

    Abstract:

    Objective To compare the preventive effect of normal saline and heparin on central venous catheter-relatedthrombosis in rats. Methods Forty Sprague-Dawley rats were randomized into a normal saline (NS) group and a heparin group, with 20 in each. Central venous catheter was placed into rat model to simulate clinical infusion. The catheters were locked daily with NS or heparin after use. The specimens of rat models were taken on the 1st, 4th, 7th, 10th and 14th day to observe the development of thrombosis. Results During catheter dwelling, both groups had 1 case with catheter out of the vein. The NS group did not develop catheter blockage, but 2 cases in heparin group had catheter blockage.The thrombosis rate was 73.68% in the NS group and 78.95% in the heparin group.There were no significant differences in incidence rate of blockage and thrombosis between the two groups(P>0.05 for both).In the early stage of catheter-related thrombosis, the severity in the heparin group was milder than the NS group, but in the late stage, it was milder in the NS group than the heparin group. Conclusion NS is effective as heparin on prevention of catheter-related thrombosis, however, from comprehensive evaluation, NS is superior to heparin.

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蒋庆娟,文萃,应燕萍,甘晓,韦艳,赵慧函.两种封管液预防大鼠中心静脉导管置入后血栓形成效果比较[J].护理学杂志,2020,35(5):52-55

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  • 收稿日期:2019-10-17
  • 最后修改日期:2019-12-13
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  • 在线发布日期: 2022-09-06