穿刺方向对不同内径动静脉内瘘影响的研究进展  

Impacts of fistula puncture directions on function of internal arteriovenous fistula with different inner diameter

作　　者：李家莲[1] 全丽霞[1] 韦红[1] 王美莲[1] LI Jialian(Department of Nephrology,Affiliated Hospital of Guilin Medical University,Guilin,Guangxi,541001)

机构地区：[1]桂林医学院附属医院肾内科,广西桂林541001

出　　处：《中西医结合护理（中英文）》2017年第4期180-182,共3页Journal of Clinical Nursing in Practice

基　　金：广西壮族自治区中青年教师基础能力提升项目(KY2016LX221)

摘　　要：动静脉内瘘具有使用方便、易于穿刺、创伤小等优点,是目前血液透析最常用的血管通路。维持动静脉内瘘的良好状态,保证血管通路的通畅是维持性血液透析期间护理工作的重点。动脉端向心方向穿刺与离心方向穿刺各有优缺点,临床要根据患者血管情况选择性地采用不同的穿刺方向,充分发挥其优点,避免其缺点导致的内瘘并发症,提高内瘘血管的使用时间及通畅率。Internal arteriovenous fistula,as the most common used vascular access,has advantagessuch as easy to use,facilitating puncture and less damage to vein.The maintenance offunction of internal arteriovenous fistula is key point in nursing care of patients with maintenancehemodialysis.Both centripetal puncture and centrifuge puncture have pros and cons.The puncturedirections should be considered according to the vascular status of patients,in order to prevent thefistula-induced complication and to prolong the use of arteriovenous fistula.

关 键 词：动静脉内瘘 血液透析 穿刺方向 内瘘并发症 血管通路 

分 类 号：R473.5[医药卫生—护理学]