钝针扣眼穿刺在老年及糖尿病患者血液透析中的应用  

Application of buttonhole technique using dull needle in elderly and diabetic patients with treatment of hemodialysis

作　　者：高秀芳[1] 徐建清[1] 郭兰芬[1] 童宗武[1] 孙燕娥 普丽萍[1] 

机构地区：[1]云南省玉溪市人民医院肾内科,云南玉溪653100

出　　处：《中西医结合护理（中英文）》2016年第5期108-109,112,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨钝针扣眼穿刺技术在老年及糖尿病血液透析患者动静脉内瘘中的应用效果。方法 62例行血液透析的老年及糖尿病患者随机分为观察组和对照组,各31例。对照采用传统区域法穿刺,观察组采用钝针扣眼穿刺技术。观察2组一次性穿刺成功率、局部皮肤异常情况、并发症发生率及疼痛评分。结果观察组一次性穿刺成功率99.8%,显著高于对照组的99.0%(P<0.05);观察组局部皮肤异常发生率6.4%,显著低于对照组的45.2%(P<0.05);观察组并发症发生率3.2%,显著低于对照组的25.8%(P<0.05);观察组VAS疼痛评分显著低于对照组(P<0.05)。结论钝针扣眼穿刺内瘘能有效提高老年及糖尿病血液透析患者一次性穿刺成功率,显著降低穿刺疼痛程度,减少并发症发生率。Objective To investigate the effect of arteriovenous fistula cannulation by button-hole technique using dull needle in elderly and diabetic patients with treatment of hemodialysis. Methods A total of 62 elderly or diabetic patients with treatment of hemodialysis were randomly di-vided into the observation group and the control group, with 31 cases in each group. The conventional regional method of puncture was performed in the control group and the buttonhole technique using dull needle was in the observation group. The success rate of puncture, local skin abnormalities, incidence of complication and visual analogue scale （ VAS） for pain assessment were compared between two groups. Results The observation group had a higher success rate of puncture （99. 8 % vs. 99. 0, P 〈0.05） , lower incidence of local skin abnormalities （6. 4 % vs. 45. 2 % , P 〈 0. 05 ） , lower inci-dence of complication （3. 2% vs. 25. 8 % , P 〈0. 05） and lower VAS score （P 〈0. 05） compared with the control group. Conclusion The arteriovenous fistula cannulation by buttonhole technique u-sing dull needle can improve the success rate of puncture and reduce the pain degree and incidence of compications in elderly and diabetic patients with treatment of hemodialysis.

关 键 词：糖尿病 血液透析 钝针扣眼穿刺 疼痛 

分 类 号：R473.5[医药卫生—护理学]