早期使用动静脉内瘘两种方法压迫止血效果的比较  

A COMPARISON OF TWO METHODS OF EARLY COMPRESSIVE HEMOSTASIS IN INTERNAL ARTERIOVENOUS FISTULA

作　　者：沈丽[1] 王祥花[2] 李琳[2] 

机构地区：[1]青岛大学医学院附属医院西院区骨外科,山东青岛266003 [2]青岛大学医学院附属医院西院区血液净化中心,山东青岛266003

出　　处：《齐鲁医学杂志》2006年第6期533-534,共2页Medical Journal of Qilu

摘　　要：目的了解指压止血法和弹力绷带压迫止血法对早期使用的动静脉内瘘穿刺点的止血效果及并发症。方法将82例血液透析病人早期使用的动静脉内瘘随机分为两组，分别用指压止血法和弹力绷带压迫止血法对1660例次内瘘穿刺点进行压迫止血，比较两种方法止血时间和并发症发生率。结果指压止血法与弹力绷带压迫止血法比较，止血时间短，并发症的发生率低，差异有显著性（t＇=37．473，P〈0．05；x^2=4．269～12．869，P〈0．05）。结论指压止血法是一种简单、安全、有效的内瘘止血方法，尤其适用于早期使用的动静脉内瘘。Objective To investigate the hematostatic effect of digital pressure hemostasis and pressure bandage hemostasis on the puncture site of internal arteriovenous fistula in the early stage. Methods Eighty-two patients undergoing arteriove nous fistula were randomly divided into two groups. Digital pressure hemostasis or pressure bandage hemostasis was applied to stop bleeding at puncture points for 1 660 ease times. The time needed for hemostasis and complications were compared. Results The time needed for hemostasis and complications of digital pressure method were significantly less than that of pressure bandage hemostasis （t＇=37. 473, P〈0.05;X^2 =4. 269-12. 869,P〈0.05）. Conclusion Digital pressure hemostasis is simple, safe and effective for internal arteriovenous fistula, especially in the early period.

关 键 词：血液透析 动静脉内瘘 穿刺 压迫止血方法 

分 类 号：R473.5[医药卫生—护理学]