双动脉血路改善血液透析血流量不足的护理  

Nursing of double arterial vascular access to improve insufficience of blood flow

作　　者：李智婷[1] 鲍群梅[1] 林秋华[1] 程建萍[1] 张伟英[1] 黄春霞[1] 马洁茹[1] 

机构地区：[1]广东省肇庆市第一人民医院,广东肇庆526021

出　　处：《中国医药导报》2007年第11Z期58-59,共2页China Medical Herald

摘　　要：目的:选择适宜的血管穿刺法建立血液透析临时血管通路,以缩短操作时间、提高穿刺成功率、减轻患者经济负担,并达到血液透析所需的满意血流量。方法:1.5年间(2005.11～2007.04)对120例行血液透析治疗病人,根据不同患者的血管、经济情况,分别采用股静脉穿刺置管法(60例)、双动脉血路法(60例)。对2种血管穿刺法体外循环血流量、操作时间、一次穿刺成功率及价格进行比较。结果:2种血管穿刺法都能达到满意的血流量(150～250ml/min),股静脉穿刺置管法操作时间是10～30min,一次穿刺成功率90%,价格昂贵;双动脉血路法操作时间是1～2min、一次穿刺成功率97%、价格便宜。结论:双动脉血路法比股静脉穿刺置管法具有操作时间短,一次穿刺成功率高的优点,并减轻病人经济负担,又能达到血液透析所需的满意血流量。Objective： Select appropriate vascular puncture to establish temporary vascular access for hemodialyis in order to shorten the time of operation, increase the success rate of puncture, lighten the economic burden, achieve the satisfied blood flow for hemodialysis. Methods ：120 hemodialysis patients in 1.5 years undergone femoral vein catheterization （60 cases）and double arterial vascular access （60 cases）, respectively, according to patients, vessel and economic situation. Pump blood flow, hours of operation, puncture success rate and cost of two kinds of vascular puncture were compared. Results：Blood flow from two ways of blood vessel puncture was satifactory. Time of femoral vein catheterization method was 10-30 min, success rate of puncture was 90%, cost was more expensive; Those of double arterial vascular access were 1-2 rain, 97% and cheaper. Conclusion ：Double arterial vascular access way is a shorter operation time, higher success rate of puncture and less vascular complication method than femoral vein catheterization method, while lightening the economic burden of patients and maintaining the satisfied blood flow for hemodialysis.

关 键 词：双动脉血路 血液透析 血流量不足 

分 类 号：R459.5[医药卫生—治疗学]