零压力改良穿刺法在新动静脉内瘘穿刺患者中的应用效果  

Application effect of zero pressure modified puncture method in patients with new arteriovenous fistula puncture

作　　者：罗翠云 蒋静瑜 冷英杰[1] 傅小蓉 王淑萍[1] LUO Cuiyun;JIANG Jingyu;LENG Yingjie;FU Xiaorong;WANG Shuping(Department of Renal Rheumatology and Hematology,the 910^(th)Hospital of the Joint Logistics Support Force of the People's Liberation Army of China,Fujian Province,Quanzhou 362000,China)

机构地区：[1]中国人民解放军联勤保障部队第九一〇医院肾脏风湿血液科,福建泉州362000

出　　处：《中国当代医药》2024年第30期184-187,192,共5页China Modern Medicine

摘　　要：目的探讨零压力改良穿刺法对血液透析患者新动静脉内瘘穿刺成功率的影响。方法选取2021年1月至2023年12月中国人民解放军联勤保障部队第九一〇医院收治的103例接受新动静脉内瘘穿刺的血液透析患者作为研究对象,按照随机数字表法分为对照组(51例)与研究组(52例),对照组采用常规穿刺法,研究组采用零压力改良穿刺法。比较两组患者的穿刺质量、疼痛情况、焦虑情况以及并发症情况。结果研究组的穿刺成功率高于对照组,穿刺点渗血、血流量不足、穿刺点硬结发生率低于对照组,差异有统计学意义(P<0.05)。研究组的疼痛和焦虑评分低于对照组,差异有统计学意义(P<0.05)。研究组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论零压力改良穿刺法在血液透析患者的新动静脉内瘘穿刺中具有显著的优势,它不仅能够提高穿刺的质量,减少疼痛感和并发症发生情况,还能减轻患者焦虑,为患者在透析过程中带来更好的体验。Objective To investigate the effect of zero pressure modified puncture method on the success rate of new arteri-ovenous fistula puncture in hemodialysis patients.Methods A total of 103 hemodialysis patients receiving new arteriovenous fistula puncture admitted to the 910th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China from January 2021 to December 2023 were selected as the research objects,and they were divided into control group(51 cases)and study group(52 cases)according to random number table method.The control group adopted conventional puncture,the study group adopted zero pressure modified puncture method.The puncture quality,pain,anxiety and compli-cations were compared between the two groups.Results The puncture success rate of the study group was higher than that of the control group,and the incidences of puncture site bleeding,insufficient blood flow and indentation were lower than those of the control group,with statistical significances(P<0.05).The pain and anxiety scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Zero pressure modified puncture method has significant advantages in the puncture of new arteriovenous fistula in hemodialysis patients.It can not only improve the quality of puncture,reduce pain and complications,but also reduce patients'anxiety and bring better experience for patients during dialysis.

关 键 词：血液透析 零压力改良穿刺法 疼痛 穿刺质量 焦虑情况 

分 类 号：R692.5[医药卫生—泌尿科学]