球囊扩张治疗血透患者动静脉内瘘狭窄的效果观察及围手术期护理  

Observation on the effect of balloon dilatation in the treatment of stenosis of arteriovenous fistula in patients receiving hemodialysis and periopera-tive nursing care

作　　者：朱晓影[1] 周美玲[2] 吴靖[1] 

机构地区：[1]浙江省丽水市人民医院血液净化科,浙江丽水323000 [2]浙江省人民医院血液净化科,浙江杭州310014

出　　处：《中国现代医生》2017年第2期146-149,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2015KYA026)

摘　　要：目的观察球囊扩张治疗血透患者动静脉内瘘狭窄的效果及围手术期护理措施。方法选取2014年5月~2016年7月我院收治的动静脉内瘘狭窄的血透患者90例作为观察对象,按照计算机数字表法分为对照组和实验组,每组45例,所有患者均采用球囊扩张治疗。对照组围手术期行常规护理,实验组围手术期行护理干预,评定治疗效果并比较两组护理满意度、生活质量和并发症情况。结果所有患者均经过PTA手术,两组患者治疗前血管内径和透析血流量无显著性差异(P>0.05),治疗后两组患者较治疗前均有显著改善(P<0.05),且治疗后两组患者血管内径和透析血流量无显著性差异(P>0.05);实验组护理满意度及QOL评分均明显高于对照组,差异具有统计学意义(P<0.05);对照组与实验组并发症发生率进行统计比较,实验组低于对照组,组间差异显著(P<0.05)。结论血透患者动静脉内瘘狭窄采用球囊扩张治疗,临床治疗效果显著,对患者进行全面的护理措施可以有效降低并发症发生率,改善生活质量,值得在临床上推广应用。Objective To observe the effect of balloon dilatation in the treatment of arteriovenous fistula stenosis in the patients receiving hemodialysis and perioperative nursing care. Methods A total of 90 patients with arteriovenous fistula stenosis who were admitted to our hospital and given hemodialysis from May 2014 to July 2016 were selected as the observation subjects. According to the computer digital table method, the patients were divided into the control group and the experimental group, with 45 patients in each group. All patients were treated with balloon dilatation. The con- trol group was given regular nursing in the perioperafive period, and the experimental group was given nursing interven- tion in the perioperative period. The therapeutic effect was evaluated and the satisfaction, quality of life and complica- tions were compared between the two groups. Results All patients were given PTA operation. There was no significant difference in vessel diameter and blood flow volume of dialysis between the two groups before treatment （P〉0.05）. After the treatment, the two groups of patients were significantly improved compared with that before the treatment （P〈0.05）. There was no significant difference between the two groups in the vessel diameter and blood flow volume of dialysis after the treatment（P〉0.05）; the nursing satisfaction rate and QOL score in the experimental group were significantly higher than those in the control group, and the difference between the two groups was statistically significant（P〈0.05）; the inci- dence rate of complications in the control group was lower than that in the control group, and the difference between groups was significant（P〈0.05）. Conclusion The clinical curative effect of balloon dilatation therapy in the treatment of arteriovenous fistula stenosis in the patients receiving hemodialysis has a significant curative effect. Comprehensive nursing care measures for patients can effectively reduce the incidence rate of complications, and improve

关 键 词：围手术期护理 球囊扩张 动静脉内瘘狭窄 血液透析 

分 类 号：R473.5[医药卫生—护理学]