血透致假性动脉瘤切除并内瘘成型术的围手术期护理  

The Perioperative Care of Pseudoaneurysm Resection and Fistula Angioplasty that Caused by Hemodialysis

作　　者：谢燕冰[1] 陈秋梅[1] 刘莲清[1] 全晓国[1] 陈丽姗[1] 

机构地区：[1]广东省农垦中心医院外一科,湛江524002

出　　处：《当代护士（下旬刊）》2014年第7期50-51,共2页Modern Nurse

摘　　要：目的总结血透患者直穿致假性动脉瘤切除同时一期行内瘘成型术的围手术期护理要点。方法本院收治血透直穿致假性动脉瘤259例患者,其中行假性动脉瘤切除同时一期行内瘘成型手术127例患者作为治疗组,将其余132例患者作为对照组。回顾性分析对患者围手术期护理的效果,并做相关统计学分析处理。结果经精心治疗和护理,桡动脉假性动脉瘤的切除并一期内瘘成型术通畅率达94%,血流能满足血透需要。结论术前强调规范的心理护理和术肢护理,术后加强对并发症的观察并进行护理干预和指导,同时加强手功能锻炼的指导,可有效提高手术成功率,从而提高患者的生活质量和生存率。Objective To summarize the perioperative nursing points of hemodialysis patients during pseudoaneurysm resection and one-stage fistula angioplasty. Methods 259 hemodialysis patients with pseudoaneurysm that caused by direct arterial puncture in our hos-pital were collected, and 127 patients of them received one-stage fistula angioplasty when conducting pseudoaneurysm resection. A ret-rospective analysis and a statistically analysis were performed on the effects of perioperative care of these patients. Results The suc-cess rate of radial artery pseudoaneurysm resection and one-stage fistula angioplasty up to 94% after carefully treatment and care, the blood flow could meet the requirements of hemodialysis. Conclusion Preoperative standardized psychological care and limb care, post-operative complications observation and nursing intervention, and limb functional exercise guidance can effectively improve the success rate of surgery, the quality of life and the survival rate.

关 键 词：假性动脉瘤 动静脉内瘘 围手术期 护理 

分 类 号：R473.73[医药卫生—护理学]