留置针扣眼穿刺在尿毒症维持性血液透析患者中的应用效果  

Application effects of indwelling needle buttonhole puncture in patients with uremia undergoing maintenance hemodialysis

作　　者：孟松[1] MENG Song(Blood Purification Room of Sixth People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)

机构地区：[1]河南省郑州市第六人民医院血液净化室,河南郑州450000

出　　处：《中国民康医学》2021年第4期117-119,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察留置针扣眼穿刺在尿毒症维持性血液透析患者中的应用效果。方法:选取91例尿毒症维持性血液透析患者为研究对象,按照随机数字表法分为对照组45例和研究组46例。对照组采用传统扣眼穿刺,研究组采用留置针扣眼穿刺,比较两组第2次透析时视觉模拟评分法(VAS)评分、皮下隧道形成时间、并发症发生率和生命质量综合评定问卷-74(GQOLI-74)评分。结果:研究组VAS评分低于对照组,皮下隧道形成时间短于对照组,差异均有统计学意义(P<0.05);透析12个月后,研究组并发症发生率为4.35%,明显低于对照组的20.00%,差异有统计学意义(P<0.05);透析12个月后,两组GQOLI-74评分均高于透析前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:留置针扣眼穿刺应用于尿毒症维持性血液透析患者可降低VAS评分和并发症发生率,缩短皮下隧道形成时间,以及提高生命质量,优于传统扣眼穿刺效果。Objective:To explore application effects of indwelling needle buttonhole puncture in patients with uremia undergoing maintenance hemodialysis.Methods:91 patients with uremia were selected as the research objects,and were divided into control group(45 cases)and study group(46 cases)according to the random number table method.The control group used traditional buttonhole puncture,and the study group used the indwelling needle buttonhole puncture.The visual analogue scale(VAS)score,subcutaneous tunnel formation time,complication rate and generic quality of life inventory-74(GQOLI-74)score were compared between the two groups during the second dialysis.Results:The VAS score of the study group was lower than that of the control group;the subcutaneous tunnel formation time was shorter than that of the control group,and the differences were statistically significant(P<0.05).After 12 months of dialysis,the complication rate in the study group was 4.35%,which was significantly lower than 20.00% in the control group,and the difference was statistically significant(P<0.05).After 12 months of dialysis,the GQOLI-74 scores of the two groups were higher than those before the dialysis;that of the study group was significantly lower than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:The indwelling needle buttonhole puncture for the patients with uremia undergoing maintenance hemodialysis can reduce the VAS score and the incidence of complications,shorten the subcutaneous tunnel formation time,and improve the quality of life.Moreover,it is superior to traditional buttonhole puncture.

关 键 词：留置针 扣眼穿刺 尿毒症 维持性血液透析 VAS评分 并发症 生命质量 

分 类 号：R473.5[医药卫生—护理学]