超声引导下建立疑难内瘘扣眼穿刺隧道的针对性护理分析  

Targeted nursing analysis of establishing difficult internal fistula buttonhole puncture tunnel under ultrasound guidance

作　　者：鲁绍娟 欧喜金 李玲[1] LU Shao-juan;OU Xi-jin;LI Ling(The First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui)

机构地区：[1]安徽医科大学第一附属医院血液透析中心,安徽合肥230022

出　　处：《安徽医专学报》2024年第3期47-49,共3页Journal of Anhui Medical College

基　　金：2021年度安徽医科大学校科研基金项目(编号:2021xkj155)。

摘　　要：目的:探讨超声引导下建立疑难内瘘扣眼穿刺隧道的针对性护理。方法:选取某医院收治的66例接受超声引导下建立疑难内瘘扣眼穿刺隧道的患者,经随机数表法分成对照组与研究组,各33例患者。全部患者均在超声引导下建立疑难内瘘扣眼穿刺隧道;对照组患者仅接受常规护理干预,研究组患者则在常规护理干预的前提下,为其提供有针对性的护理干预,比较两组的一次性穿刺成功率、并发症发生情况、负性心理及疼痛程度。结果:与对照组相比较,研究组患者的一次性穿刺成功率更高(P<0.05),而并发症则明显减少(P<0.05);相比于对照组,研究组患者护理后的SAS评分、SDS评分均明显更低(P<0.05)。研究组患者的VAS评分明显低于对照组,差异有统计学意义(P<0.05)。结论:在超声引导建立疑难内瘘扣眼穿刺隧道时,为患者提供有针对性的护理干预能显著改善其负性情绪,有效减轻疼痛程度,进而明显提高一次性穿刺成功率,减少并发症,值得推广。Objective:To analyze the nursing elements of ultrasound guidance.Methods:66 patients admitted were divided into two groups,with 33 patients in the control group and the study group.All patients had a difficult internal fistula c-out puncture tunnel under the guidance of ultrasound;the control group only received routine nursing intervention,while the research group provided targeted nursing intervention to compare the success rate of one-time puncture,complications,negative psychology and pain degree of the two groups.Results:Compared with the control group,the study group had a higher success rate(P<0.05)and significantly fewer complications(P<0.05);SAS,SDS scores were significantly lower compared to the control group(P<0.05).The VAS score of the study group which was significantly lower than that of the control group and the comparative difference was statistically significant(P<0.05).Conclusion:In the establishment of difficult internal fistula cingout puncture tunnel,providing targeted nursing intervention for patients can significantly improve their negative emotions,effectively reduce the pain degree,and then significantly improve the success rate of one-time puncture,and significantly reduce complications,which is worth promoting.

关 键 词：超声引导 疑难内瘘 扣眼穿刺隧道 针对性护理 

分 类 号：R473.5[医药卫生—护理学]