The blood of our country dialyses and treats and lacks standard and norm

The blood of our country dialyses and treats and lacks standard and norm
Millions of patients need to dialyse and treat the blood for a long time in our country, if essential anticoagulation pharmaceutical is improperlied use while dialysing, can cause serious consequences such as the thrombus, bleeding,etc.. On March 26, a page outstanding thesis on " China's medical magazine " that the Chinese Technology Association and China science and technology news learn to be recommended together reveals, a epidemiology investigation to 7 blood purification centers in our country shows, of our country blood dialyse, treat, regard Heparin as more anticoagulatory pharmaceutical, but every the intersection of blood purification center and anticoagulation until blood dialyse treat for experience administration, lack essential blood coagulation to monitor, anticoagulatory pharmaceutical uses and lacks standard and norm.
The intersection of PLA and the intersection of general hospital and the intersection of nephropathy and the intersection of research institute and the intersection of snow capped peak and the intersection of doctor,etc. and researcher to Beijing Sun, Shenyang, Harbin, Dalian carry on all 808 anticoagulation method of patient that blood dialyse analyze the reviewing, including medicine kind, dosage, for medicine ways, blood coagulation index, sending disease originally, bleeding and is inclined to and the situation of the thrombus takes place etc.. Find 7 the intersection of purification and centre have 6 regard ordinary Heparin as main the intersection of anticoagulation and pharmaceutical finally, but employ the proportion every centre of Heparin to be different, up to 93%, it is 45% to be the lowest, the difference is prominent; Dosage and it gives medicines to be too to some extent different in way, some centre wash in advance with the physiological saline, some do not use, some veins are given once, add extra after some first dosage; Even if is the same kind of Heparin, domestic and import preparation consumption and different. 7 centres investigated though is all using anticoagulatory pharmaceutical, none of centres measure the patient's blood coagulation index regularly, standardization does not assess the blood coagulation state. Accept in the patient that dialyses, 46% are chronic nephritis, 15% are diabetic nephropathy, 9% are hypertension and nephropathy, but anticoagulatory pharmaceutical consumption does not have obvious difference among patient of all kinds of number.
Researcher point out anticoagulation that blood dialyses still in experience state at the at present clinical our country, the monitoring that has no individual, for example there is high anticoagulation pharmaceutical consumption of congealing diabetic and other patients that incline that does not have obvious difference, have not increased the Heparin dosage to the patient prone to thrombus either. For this reason, the expert calls upon, set up the choice, use dosage and occupation mode standard of anticoagulatory pharmaceutical; To different number, the individual uses anticoagulatory pharmaceutical, and measure and assess the blood coagulation index.
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