改良穿刺法联合红外线照射对动静脉内瘘的护理效果  

Effect of Modified Puncture Method Combined with Infrared Ray Irradiation in the Care of Arteriovenous Endovascular Fistula

作　　者：李金媚 黄婷婷[1] 冼建珍 Li Jin-mei;Huang Ting-ting;Xian Jian-zhen(Hemodialysis Unit,Zhaoqing Second People's Hospital,Zhaoqing 526060,Guangdong Province,China)

机构地区：[1]肇庆市第二人民医院血透室,广东肇庆526060

出　　处：《中外医药研究》2022年第13期93-95,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：肇庆市科技计划项目(编号:202004031321)。

摘　　要：目的:分析改良穿刺法联合红外线照射在动静脉内瘘护理中的应用效果。方法:选取2020年3月-2022年3月肇庆市第二人民医院收治的自体动静脉内瘘穿刺血液透析患者96例为观察对象,根据随机数字表法分为对照组与观察组,各48例。对照组给予传统穿刺法治疗,观察组给予改良穿刺法联合红外线照射治疗,比较两组患者一次穿刺成功率、穿刺疼痛程度、动静脉内瘘血肿发生率、肿胀程度、并发症发生率。结果:观察组一次穿刺成功率高于对照组;观察组无痛、轻度疼痛率高于对照组,中度、重度疼痛率均低于对照组,差异有统计学意义(P<0.05);透析3、6、12个月,观察组透析动静脉内瘘血肿总发生率和大血肿发生率均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:改良穿刺法联合红外线照射可有效提高动静脉内瘘一次穿刺成功率,减轻穿刺疼痛感,降低动静脉内瘘血肿等并发症发生率,降低血肿肿胀程度,安全性高。Objective:To analyze the effect of modified puncture method combined with infrared ray irradiation in the care of arteriovenous endovascular fistula.Methods:96 patients admitted to Zhaoqing Second People's Hospital for hemodialysis with autologous arteriovenous endovascular fistula puncture from March 2020 to March 2022 were selected as observation subjects and divided into control group and observation group according to the random number table method,48 cases each.The control group was treated with traditional puncture method,while the observation group was treated with modified puncture method combined with infrared ray irradiation.The success rate of one puncture,the degree of puncture pain,the incidence of arteriovenous endovascular hematoma,the degree of swelling,and the incidence of complications were compared between the two groups.Results:The success rate of one puncture was higher in the observation group than in the control group.The rates of pain-free and mild pain were higher in the observation group than in the control group,and the rates of moderate and severe pain were lower than in the control group,with statistically significant differences(P<0.05).At 3,6 and 12 months of dialysis,the total incidence of hematoma and the incidence of large hematoma of dialysis arteriovenous endovascular fistula in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The modified puncture method combined with infrared ray irradiation can effectively improve the success rate of arteriovenous endovascular fistula,reduce the pain of puncture,reduce the incidence of complications such as arteriovenous endovascular hematoma,and reduce the degree of hematoma and swelling,with high safety.

关 键 词：改良穿刺法 红外线照射 动静脉内瘘 血肿 

分 类 号：R47[医药卫生—护理学]