维持性血液透析患者不同血管通路临床并发症研究  

Research on Clinical Complications of Different Vascular Pathways of Patients with Maintenance Hemodialysis

作　　者：付茗晖 FU Minghui(Pingyuan County the First People's Hospital,Dezhou,Shandong 253100)

机构地区：[1]平原县第一人民医院,山东德州253100

出　　处：《智慧健康》2024年第20期47-49,共3页Smart Healthcare

摘　　要：目的探讨维持性血液透析患者使用不同血管通路时的临床并发症情况。方法选取2021年7月—2022年7月本院收治的40例维持性血液透析患者纳入研究,采用分组对比的方法分成实验组(20例)和对照组(20例)。实验组选择动静脉内瘘治疗,对照组选择半永久颈内静脉置管治疗,对比两组并发症发生情况以及治疗前后的生活质量。结果实验组发生动脉瘤及假性动脉瘤、丧失内瘘功能的概率较对照组更高(P<0.05),而对照组发生血栓、导管引血困难的概率较实验组更高(P<0.05),两组发生感染、血流量不足的概率差异无统计学意义(P>0.05)。治疗前,两组的生活质量差异无统计学意义(P>0.05);治疗后,虽然两组的生活质量有了明显的提升,但组间差异无统计学意义(P>0.05)。结论动静脉内瘘和半永久颈内静脉置管在治疗维持性血液透析患者时各具优势和不足。在临床实践中,应根据患者个体情况和风险因素选择合适的血管通路,以优化透析治疗效果和提升患者生活质量。Objective To explore clinical complications of different vascular pathways of patients with maintenance hemodialysis.Methods The paper chose 40 maintenance hemodialysis patients in our hospital from July 2021 to July 2022,and divided them into experimental group(20 cases)and control group(20 cases)with grouping comparison method.The first group was treated with arteriovenous fistula,and the second group with semi permanent jugular venous catheterization.Incidence of complications and life quality was compared before and after treatment between two groups.Results Experimental group had higher incidence of aneurysms and pseudoaneurysms,and internal fistula function loss,(P<0.05),while control group had higher incidence of thrombosis and difficulty in catheterization(P<0.05).There was no statistically significant difference in incidence of infection and insufficient blood flow between two groups(P>0.05).Before treatment,there was no significant difference in life quality between two groups(P>0.05).After treatment,there was significant improvement in life quality between two groups,difference was not significant(P>0.05).Conclusion Both arteriovenous fistula and semi permanent jugular vein catheterization have advantages and disadvantages for maintenance hemodialysis patients.During clinical practice,appropriate vascular pathways should be chosen based on conditions and risk factors to optimize dialysis treatment outcomes and life quality of patients.

关 键 词：维持性血液透析 动静脉内瘘 半永久颈内静脉置管 

分 类 号：R692.5[医药卫生—泌尿科学]