B超定位绘制血管位点图在绳梯穿刺中的应用  

Application of Drawing the Vascular Site Map under B-Ultrasound in Rope Ladder Puncture

作　　者：缪志菲 黄兆丹 陈延青 常艳萍 Miao Zhifei;Huang Zhaodan;Chen Yanqing;Chang Yanping(Department of Nephrology and Blood Purification,The Third People's Hospital of Yunnan Province,Kunming 650011,China)

机构地区：[1]云南省第三人民医院肾病血液净化科,昆明650011

出　　处：《大理大学学报》2023年第2期84-87,共4页Journal of Dali University

摘　　要：目的:探讨在B超定位下医护合作绘制血管位点图在血液透析患者计划绳梯穿刺中的执行效果。方法:选取云南省第三人民医院血液净化中心维持性血液透析患者120例作为研究对象,按照绳梯穿刺方式分为对照组和观察组,对照组实施常规绳梯穿刺,观察组实施在B超定位下医护合作绘制血管位点图计划性绳梯穿刺。比较2组患者一次穿刺成功率、绳梯穿刺执行率、患者满意度和动静脉内瘘并发症发生率。结果:观察组一次穿刺成功率、绳梯穿刺执行率、患者满意度均高于对照组,差异有统计学意义(P<0.05);观察组动静脉内瘘并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:医护合作在B超定位下绘制血管位点图能使护士更好地执行绳梯穿刺技术,提高一次性穿刺成功率和患者满意度,减少动静脉内瘘并发症的发生,延长内瘘使用寿命,值得在临床工作中推广。Objective:To explore the effect of drawing the vascular site map by cooperation between doctors and nurses under Bultrasound positioning in planned rope ladder puncture of hemodialysis patients.Methods:120 patients with maintenance hemodialysis in the Blood Purification Center of the Third People’s Hospital of Yunnan Province were selected as the study subjects.According to the method of rope ladder puncture,the patients were divided into control group and observation group.The control group was given routine rope ladder puncture,and the observation group was carried out planned rope ladder puncture with doctors and nurses jointly drawing the vascular site map under the positioning of B-ultrasound.The success rate of one puncture,the implementation rate of rope ladder puncture,patient satisfaction and the complication rate of arteriovenous fistula were compared between the two groups.Results:The success rate of one puncture,the implementation rate of rope ladder puncture and patient satisfaction in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The complication rate of arteriovenous fistula in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The cooperation of doctors and nurses in drawing the vascular site map under the positioning of B-ultrasound can enable nurses to better implement the rope ladder puncture technology,improve the success rate of one puncture and patient satisfaction,reduce the occurrence of arteriovenous internal fistula complications,and extend the service life of internal fistula,which is worth promoting in clinical work.

关 键 词：医护合作 绘制血管位点图 血液透析患者 动静脉内瘘 绳梯穿刺 

分 类 号：R473[医药卫生—护理学]