动静脉内瘘气囊压迫式止血带在血液透析中的应用  

Design and application of a balloon compression tourniquet for arteriovenous fistula

作　　者：吴庆峰 章莉[1] 孙秋英 WU Qing-feng;ZHANG Li;SUN Qiu-ying(Blood Purification Center,Hangzhou Red Cross Hospital,Hangzhou 310003,China)

机构地区：[1]杭州市红十字会医院血液净化中心,杭州310003

出　　处：《中国血液净化》2021年第10期711-713,共3页Chinese Journal of Blood Purification

摘　　要：目的探讨动静脉内瘘气囊压迫式止血带的应用效果。方法选取2020年8月~2020年10月在杭州市红十字会医院血液净化中心行维持性血液透析治疗,血管通路为动静脉内瘘的60例患者为研究对象,随机分为观察组和对照组,每组30例,观察组使用动静脉内瘘气囊压迫式止血带止血,对照组使用弹性绑带或人工按压止血,观察3个月,比较2组止血效果(渗血、肿胀、假性动脉瘤、淤血)。结果2组患者共行2282次止血,观察组止血效果(渗血、肿胀、假性动脉瘤、淤血)优于对照组,差异有统计学意义(χ^(2)值分别为25.356、18.355、28.762、25.287,P值分别为0.047、0.033、0.036、0.050)。结论动静脉内瘘气囊压迫式止血带通过压力调节进行止血,效果优于传统方法,方便护士操作,能提高患者舒适度,值得临床推广。Objective To investigate the effect of a balloon compression tourniquet for arteriovenous fistula.Methods A total of 60 maintenance hemodialysis(MHD)patients using arteriovenous fistula as the blood access route and treated in the Blood Purification Center of Hangzhou Red Cross Hospital from August 2020 to October 2020 were enrolled as the research subjects.They were randomly and equally divided into the observation group,in which the balloon compression tourniquet was used to prevent from bleeding at the puncture site,and the control group,in which elastic bandage or manual pressure was applied to the puncture site.The hemostasis effects including the presence of bleeding at the puncture site,swelling,pseudoaneurysm and hypodermic ecchymosis were compared between the two groups after the intervention for 3 months.Results A total of 2,282 times of pressure hemostasis were performed in the two groups.The hemostatic effects including the absence of bleeding at the puncture site,swelling,pseudoaneurysm and hypodermic hemorrhage were significantly better in the experimental group than in the control group(χ^(2)=25.356,18.355,28.762 and 25.287 respectively;P=0.047,0.033,0.036 and 0.050 respectively).Conclusion The hemostasis function of the balloon compression tourniquet for the prevention of arteriovenous fistula bleeding after puncture can be regulated by controling pressure level in the tourniquet,with the effect better than the traditional hemostasis methods.This tourniquet is easy to be manipulated,relatively comfortable for the patients,and worthwhile to be widely used clinically.

关 键 词：血液透析 动静脉内瘘 止血方法 专利 

分 类 号：R473[医药卫生—护理学]