不同干预法预防血液透析动静脉內瘘并发症的效果研究  

Effect of Different Intervention Methods on Prevention of Complications of Arteriovenous Fistula in Hemodialysis

作　　者：卢敏 樊桂娟 黄允 LU Min;FAN Gui-juan;HUANG Yun(Hemodialysis Department,the Seventh Affiliated Hospital of Guangxi Medical University/Wuzhou Workers'Hospital,Wuzhou,Guangxi 543000)

机构地区：[1]广西医科大学第七附属医院/广西梧州市工人医院血液透析科,广西梧州543000

出　　处：《智慧健康》2020年第23期59-61,共3页Smart Healthcare

基　　金：广西梧州市科学研究与技术开发计划项目合同(201702047)。

摘　　要：目的探讨采用不同干预法预防血液透析自体动静脉内瘘(AVF)并发症。方法选择2018年12月至2019年12月在我院维持性血液透析(MHD)治疗的患者70例,按随机数字表法分为两组:观察组(钝针扣眼法)35例,对照组(锐针绳梯法)35例,比较两组患者穿刺疼痛、穿刺成功率、穿刺点渗血率、动静脉内瘘并发症发生情况与拔针按压止血时间。结果相较于对照组,观察组穿刺成功率更高,而穿刺点渗血、穿刺疼痛率更低,按压止血时间更短(P<0.05);观察组并发症发生率低于对照组(P<0.05),差异有统计学意义。结论动静脉内瘘穿刺采用钝针扣眼穿刺法能更好保护内瘘血管,减轻患者穿刺疼痛,降低并发症的发生,更好地保护血管。Objective To investigate the prevention of complications of hemodialysis autogenous arteriovenous fistula (AVF) by different intervention methods.Methods Seventy patients who were treated with maintenance hemodialysis (MHD) in our hospital from December 2018 to December 2019 were randomly divided into two groups:the observation group (blunt needle buttonhole method) 35 cases,the control group (sharp needle rope ladder method) 35 cases.The success rate of puncture,pain of puncture,bleeding at puncture point,and hemostasis time of pressing were compared between the two groups.Results Compared with the control group,the success rate of puncture in the observation group was higher,and the puncture point bleeding,puncture pain rate was lower,and pressing hemostasis time was shorter (P<0.05).The incidence of complications in the observation group was lower than that in the control group (P<0.05).Conclusion Blunt needle and buttonhole puncture can better protect the blood vessels of arteriovenous fistula,reduce the pain of puncture,reduce the occurrence of complications and protect the blood vessels.

关 键 词：动静脉内瘘 血液透析 绳梯穿刺 钝针扣眼穿刺 并发症 

分 类 号：R692.5[医药卫生—泌尿科学]