血压对直接动静脉穿刺影响的分析与干预  

作　　者：张春明 

机构地区：[1]湖南省长沙市第八医院血液净化中心,长沙410001

出　　处：《当代护士（中旬刊）》2012年第6期119-120,共2页Modern Nurse

摘　　要：目的探讨血压对透析患者直接动静脉穿刺的影响。方法对需采取直接动静脉穿刺进行血液透析的患者103例共1100次在穿刺前检测血压,研究血压与直接动静脉穿刺成功率的关系。结果血压≤180/110mmHg,足背动脉或桡动脉穿刺成功率为95.39%;血压≥180/110mmHg时,同部位穿刺成功率为89.98﹪,两者比较P<0.01,差异有统计学意义。结论透析患者的血压直接影响足背动脉或桡动脉的穿刺成功率。穿刺前应该检测血压,血压小于180/110mmHg时可直接进行穿刺;血压等于或大于180/110mmHg时,可行临时性置管术,并遵医嘱予小剂量降压药,待血压恢复至160/90mmHg左右时,再进行足背动脉或桡动脉穿刺。Objective Study on the impact of blood pressure to venipuncture in patients on dialysis. Methods Test 1100 blood pressures before amniocentesis for 103 patients on dialysis needing take direct Arteriovenous amniocentesis. Re- search the relationship between blood pressure and successfully direct Arteriovenous amniocentesis. Results Blood pressure is less than or e- qual to 180/110mmHg, the success rate of radial artery or instep artery punctures is 95.39%. Blood pressure is more than or equal to 180/ ll0mmHg, the incidence rate is 89.98%. Compare the two, if P 〈 0.01, prominent difference occurs. Conclusion The blood pressure of patients on dialysis directly impact the puncture success rate of radial artery or instep artery. Before puncture the blood pressure should be ex- amined. If the blood pressure is less than 180/1 l OmmHg, it could directly carry on the puncture. If the blood pressure is equal to or more than 180/110mmHg, it could carry on temporary tube treatment, and obey the doctor＇s advice to give a small dosage of blood pressure medicine, after the blood pressure restores to about 160/90mmHg,the radial artery or the dorsum pedis arteriopuncture could be carried on .

关 键 词：直接动静脉穿刺 血压 

分 类 号：R472[医药卫生—护理学]