早期护理干预对维持性血液透析患者动静脉内瘘并发症的影响探讨  

Research on the Impact of Early Nursing Intervention on the incidence of Complications of Arteriovenous Fistula in Patients with Maintenance Hemodialysis

作　　者：沈雪美[1] 

机构地区：[1]深圳市人民医院龙华分院,广东深圳518070

出　　处：《临床医学工程》2015年第1期87-88,共2页Clinical Medicine & Engineering

摘　　要：目的讨论早期护理干预对维持性血液透析患者动静脉内瘘并发症的影响。方法选取80例2014年1月到2014年6月在我院进行维持性血液透析的患者,将其分为实验组和对照组各40例。两组患者均行动静脉内瘘手术,对照组给予常规的护理,实验组在常规护理的基础上对患者实施早期针对性的护理干预。经过治疗后,观察两组患者在血液透析过程中并发症的发生情况,如血栓形成、血管狭窄、假性动脉瘤、肿胀手综合征等。结果实验组的血栓形成、血管狭窄、假性动脉瘤、肿胀手综合征等并发症的发生率明显低于对照组,两组相比差异有统计学意义(P<0.05)。结论早期护理干预可显著地减少维持性血液透析患者动静脉内瘘并发症的发生率,延长了动静脉内瘘的使用期限。Objective To explore the impact of early nursing intervention on the incidence of complications of arteriovenous fistula in patients with maintenance hemodialysis. Methods Eighty patients with maintenance hemodialysis in our hospital from January 2014 to June2014 were selected and randomly divided into two groups, with 40 cases in each group. All patients received arteriovenous fistula surgery.Patients in the control group were given routine nursing, while patients in the experimental group were given early targeted nursing intervention on the basis of routine nursing. The complications during hemodialysis including thrombosis, vascular stenosis, pseudoaneurysm and swollen hand syndrome were observed and compared between two groups. Results The incidences of thrombosis, vascular stenosis,pseudoaneurysm and swollen hand syndrome of experimental group were significantly lower than those of control group（all P〈0.05）.Conclusions Early nursing intervention can effectively reduce the incidence of complications of arteriovenous fistula in patients with maintenance hemodialysis, and prolong the service time of arteriovenous fistula.

关 键 词：早期护理 维持性血液透析 并发症 

分 类 号：R473.5[医药卫生—护理学]