彩色多普勒超声辅助疑难自体动静脉内瘘穿刺的应用价值  

Application value of color Doppler ultrasound assisted puncture in difficult site of autologous arteriovenous fistula

作　　者：温穗溱 叶婉荷[2] 孙凌[3] 谢丹[1] 

机构地区：[1]中山大学附属第一医院血液净化中心,广东广州510080 [2]广东省东莞市人民医院血液净化中心,广东东莞523059 [3]中山大学附属第八医院血液净化中心,广东深圳518033

出　　处：《中西医结合护理（中英文）》2017年第12期58-60,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨彩色多普勒超声在血液透析疑难自体动静脉内瘘(AVF)穿刺中的应用效果。方法 32例疑难AVF患者分为对照组和观察组,各16例。对照组按传统方式进行盲穿,观察组应用彩色多普勒超声辅助内瘘穿刺。比较2组一次性穿刺成功情况。结果观察组16例疑难AVF均一次性穿刺成功,无血肿等并发症发生;对照组一次性穿刺不成功5例,2组一次性穿刺成功率差异有统计学意义(P<0.05)。结论采用彩色多普勒超声辅助疑难AVF穿刺,能提高一次性穿刺成功率,还能尽早发现并发症。Objective To investigate the application of color Doppler ultrasound assisted puncture in difficult site of autologous arteriovenous fistula( AVF) in hemodialysis. Methods Totally32 patients with difficult site of AVF were randomly divided into the control group and the observation group,with 16 cases in each group. The control group adopted the conventional puncture method,and the observation group used color Doppler ultrasound to assist the fistula puncture.The success rate of one-time puncture was compared between two groups. Results In the observation group,16 cases of difficult site of AVF were all successfully punctured,no hematoma and other complications occurred. In the control group,there were 5 cases of unsuccessful puncture at first time,with a significant difference( P < 0. 05). Conclusion Application of color Doppler ultrasound to assist the difficult site of AVF puncture can improve the success rate of one time puncture and find the potential risk of complications as soon as possible.

关 键 词：彩色多普勒超声 动静脉内瘘 穿刺 血液透析 

分 类 号：R473.6[医药卫生—护理学]