下机后立即拔针法与延时拔针法在血液透析内瘘使用初期护理中的价值对比  

Comparison of the value of immediate drawing needle method and delayed drawing needle method after machine treatment in the early nursing of hemodialysis internal fistula

作　　者：潘亚婷 张胡 杜雪华 

机构地区：[1]广东省深圳市龙华区中心医院血透室,深圳市518110

出　　处：《护理实践与研究》2017年第21期139-140,共2页Nursing Practice and Research

摘　　要：目的:探讨血液透析内瘘使用初期护理中不同拔针时间对患者的影响。方法:选取2015年1月~2016年4月行血液透析的内瘘使用初期患者79例,随机分为A组40例和B组39例,A组行延时拔针法(下机后10 min拔针),B组行下机后立即拔针法。比较两组患者出血量、止血按压时间、相关并发症发生情况及患者满意度。结果:A组患者平均出血量低于B组(P<0.05),平均按压时间短于B组(P<0.05),并发症发生率低于B组(P<0.05),患者护理满意度高于B组(P<0.05)。结论:血液透析后内瘘穿刺针延时10 min拔针并压迫止血,可缩短止血时间,降低出血量,同时减少内瘘使用初期的并发症发生率,减轻患者痛苦,值得临床推广应用。Objective： To explore the effect of different needle drawing time in the early nursing on patients with hemodialysis. Methods： A total of 79 patients undergoing early hemodialysis internal fistula from January 2015 to April 2016 were selected and randomly divided into group A and group B,with 40 cases and 39 cases respectively. Group A received delayed drawing needle method（ needle was drawn 10 minutes after machine treatment）,and Group B received immediate drawing needle method. The amount of bleeding,the time of hemostasis and compression,the incidence of relevant complications and the satisfaction of patients were compared between the two groups. Results： The average bleeding volume in group A was lower than that in group B（ P 〈0. 05）,the average pressing time was shorter than that in group B（ P 〈 0. 05）,the incidence of complications was lower than that in group B（ P 〈 0. 05）,and the nursing satisfaction of patients was higher than that in group B（ P 〈 0. 05）. Conclusion： The 10-minute delay of internal fistula puncture needle and hemostasis by compression can shorten the bleeding time,reduce the amount of bleeding and the incidence of complications in the early nursing and relieve the suffering of patients. It is worthy of clinical promotion and application.

关 键 词：血液透析 内瘘 拔针时间 出血 

分 类 号：R473.5[医药卫生—护理学]