尿毒症患者动静脉内瘘使用情况的调查与分析  

Investigation and analysis about clinical application of arteriovenous fistula in uremia patients

作　　者：孙晶娣[1] 张军莉[1] 

机构地区：[1]大连医科大学附属第二医院肾内科,116027

出　　处：《中国医师进修杂志》2008年第6期25-26,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的调查尿毒症患者前臂动静脉内瘘的使用情况，探讨其失功的原因。方法对采用前臂动静脉内瘘建立血管通路的345例血液透析患者的临床资料进行回顾性分析，观察内瘘使用情况与慢性肾功能衰竭原发病的关系。结果内瘘使用时间≥2年者以慢性肾炎居多，糖尿病肾病最少；内瘘建立1年内出现内瘘失功103例，其发生率最高的是糖尿病肾病，其次是高血压良性肾小动脉硬化，两者与慢性肾炎比较差异有统计学意义。结论糖尿病肾病及高血压良性肾小动脉硬化患者内瘘使用时间短，术后失功发生率高。Objective To investigate the clinical application of forearm arteriovenous fistula in uremia patients, and find out the cause of fistula dysfunction. Methods Throe hundred and forty-five chronic uremia patients wero collected. Forearm arteriovenous fistula were set up as vascular access. Recorded the rolationship between the using condition. Results Chronic nephritis was the most, and diabetic nephropathy was lowest in the using fistula time exceeding 2 years, the internal fistula losing function occurred 103 cases in 1 year after intenal fistula establishment, the highest rate was diabetic nephropathy, then hypertension innecence renal arteriolar sclerosis. There were significant difference beween diabetic nephropathy, hypertension innocence renal arteriolar sclerosis and chronic nephritis （P 〈0.05）. Conclusion In diabetic nephropathy and hypertension patients, the using time of fistula is short and the accidence of fistula dysfunction is high.

关 键 词：动静脉瘘 尿毒症 患者 临床分析 

分 类 号：R692[医药卫生—泌尿科学]