个性化血管穿刺图谱在维持性血液透析患者动静脉内瘘中的应用  

Application of an individualized vascular puncture atlas to maintenance hemodialysis patients with arteriovenous fistulas

作　　者：姚芳[1] 刘清燕 唐婷[2] 张莉[1] 汪红霞 YAO Fang;LIU Qingyan;TANG Ting(Department of Hemodialysis,Xuancheng People’s Hospital,Anhui,Xuancheng 242000,China;不详)

机构地区：[1]安徽省宣城市人民医院血液透析科,242000 [2]安徽省宣城市人民医院泌尿外科,242000

出　　处：《河北医药》2024年第8期1278-1280,共3页Hebei Medical Journal

基　　金：宣城市卫生健康科研项目(编号:XCWJ2022053)。

摘　　要：目的探讨个性化血管穿刺图谱在维持性血液透析患者动静脉内瘘中的应用。方法前瞻性选取2021年1月至2023年1月进行治疗的患者86例,根据随机数字表法分为对照组和试验组,每组43例。对照组实施常规护理并采取绳梯式穿刺法进行穿刺,试验组在此基础上采用个性化血管穿刺图谱。观察并对比2组患者透析时一次穿刺成功率、透析期间的动静脉内瘘使用寿命和不良反应发生率,并采用自制的满意度调查表记录并对比2组患者穿刺满意度。结果试验组透析时一次穿刺成功率高于对照组,透析期间动静脉内瘘使用寿命高于对照组、不良反应发生率低于对照组,差异均有统计学意义(P<0.05);试验组患者整体满意度优于对照组,差异有统计学意义(P<0.05)。结论在维持性血液透析患者动静脉内瘘穿刺中采用个性化穿刺图谱可有效提高一次穿刺成功率、延长动静脉内瘘使用寿命,降低穿刺点渗血、内瘘狭窄等不良反应的发生,并提高患者满意度。Objective To explore the application of an individualized vascular puncture atlas to maintenance hemodialysis patients with arteriovenous fistulas.Methods A total of 86 maintenance hemodialysis patients admitted from January 2021 to January 2023 were prospectively selected.They were randomly divided into the control group and test group,with 43 cases in each group.Patients in both groups received routine care and rope ladder puncture,while those in the test group were managed by an individualized vascular puncture atlas.The success rate of one-time puncture during dialysis,service life of arteriovenous fistulas during dialysis and incidence of adverse events were observed and compared between the two groups.The self-made satisfaction questionnaire was used to survey the puncture satisfaction of the two groups.Results Significantly higher success rate of one-time puncture during dialysis,longer service life of arteriovenous fistulas during dialysis and lower incidence of adverse events were detected in the test group than those of the control group(P<0.05).In addition,the overall satisfaction of the test group was significantly higher than that of the control group(P<0.05).Conclusion The use of an individualized puncture atlas in the puncture of arteriovenous fistulas in maintenance hemodialysis patients can effectively improve the success rate of one-time puncture,prolong the service life of arteriovenous fistulas,reduce the occurrence of adverse events like bleeding at the puncture point and stenosis of the fistula,and improve patient’s satisfaction.

关 键 词：维持性血液透析 动静脉内瘘 个性化血管穿刺图谱 不良反应 满意度 

分 类 号：R459.52[医药卫生—治疗学]