初次血液透析患者血管通路选择及影响因素分析  

Vascular access selection and related factors at the beginning of hemodialysis

作　　者：王心亮[1] 王德光[1] 郝丽[1] 张桂霞[1] 王菊[1] 

机构地区：[1]安徽医科大学第二附属医院肾脏内科,合肥230601

出　　处：《中国临床保健杂志》2015年第6期597-600,共4页Chinese Journal of Clinical Healthcare

基　　金：安徽省卫生厅临床基础应用项目(09C152)

摘　　要：目的调查新入血液透析患者血管通路选择情况并分析影响通路选择的因素。方法选择初次维持性血液透析患者177例,记录患者一般情况和疾病相关情况。根据患者初次透析前血管通路建立情况分为AVF组和CVC组,对两组进行比较,探讨影响血管通路的选择的因素。结果透析前预先建立动静脉内瘘(AVF)的患者占28.2%,初次透析AVF使用率使用率为15.3%。AVF组和CVC组间糖尿病肾病、教育程度、肾科随访时间、建议造瘘至开始透析时间的比较差异有统计学意义(P<0.05)。结论绝大部分血液透析患者初次透析血管通路为深静脉导管,初次透析内瘘使用率很低。影响血管通路选择的主要因素为糖尿病肾病、教育程度、肾科随访时间、建议造瘘至开始透析时间。Objective To investigate vascular access selection and related factors at the beginning of hemodialysis. Methods 177 patients with the beginning of hemodialysis were rolled in this study. Their demography,living habit,history of chronic disease were collected. The patients were divided into 2 groups according to vascular access situation ： AVF and CVC, and the influence factors on the use of arteriovenous fistula were analyzed. Results 28.2% of patients had arteriovenous fistula before hemodialysis,the use of arteriovenous fistula was 15.3% for first hemodialysis patients. Diabetic nephropathy, education situation, follow-up time, the time between performing vascular access and first hemodialysis were different between the two group （ P 〈 0.05 ）. Conclusion Most patients started hemodialysis with CVC ,the use of arteriovenous fistula is not high for first hemodialysis. Related factors include diabetic nephropathy, education situation, follow-up time and the time between performing vascular access and first hemodialysis

关 键 词：肾透析 动静脉瘘 导管 留置 糖尿病肾病 教育程度 

分 类 号：R692.5[医药卫生—泌尿科学]