摘要
目的探讨信息化规划性血管穿刺策略在血液透析患者中的应用效果。方法选取2017年1月至2019年2月昆明医科大学附属曲靖医院行维持性血液透析的患者114例,根据穿刺方法不同分为对照组和观察组,各57例。比较两组患者穿刺成功率、绳梯穿刺执行率、透析治疗效率标准(Kt/V)、肌酐清除率、患者满意度和并发症发生率。结果两组患者穿刺成功率比较,差异无统计学意义;观察组患者绳梯穿刺执行率和患者满意度均高于对照组患者;Kt/V和肌酐清除率均优于对照组患者,差异有统计学意义(P<0.05);并发症发生率为低于对照组患者,差异有统计学意义(P<0.01)。结论信息化规划性穿刺策略可保护患者动静脉内瘘,延长使用寿命,同时还能提高护士工作成效,值得临床推广。
Objective To explore the effect of informationized and planned arteriovenous fistula puncture strategy in hemodialysis patients.Method 114 patients with maintenance hemodialysis in Qujing Hospital Affiliated to Kunming Medical University from January 2017 to February 2019 were selected and divided into control group and observation group according to different puncture methods,with 57 cases in each group.The success rate of puncture,rope ladder puncture implementation rate,Kt/V creatinine clearance rate,patient satisfaction and complication rate were compared between the two groups.Result There was no significant difference in the success rate of puncture between the two groups;the implementation rate of rope ladder puncture and patient satisfaction in the observation group were higher than those in the control group;the Kt/V and creatinine clearance rate were better than those in the control group,the difference was statistically significant(P<0.05);the incidence of complications was lower than that of the control group,the difference was statistically significant(P<0.01).Conclusion Informationized and planned puncture strategy is an effective way to protect arteriovenous fistula of the patients and prolong the service life of arteriovenous fistula,at the same time which can improve the work efficiency of nurses and is worthy of clinical promotion.
作者
周宇晖
张恬
樊丽
孙玉
邱双秀
闻黎洁
杜湘云
Zhou Yuhui;Zhang Tian;Fan Li;Sun Yu;Qiu Shuangxiu;Wen Lijie;Du Xiangyun(Center of Blood Purification,Qujing Hospital Affiliated to Kunming Medical University,Qujing 655000,Yunnan,China)
出处
《血管与腔内血管外科杂志》
2020年第4期304-308,共5页
Journal of Vascular and Endovascular Surgery
基金
昆明医科大学附属曲靖医院院内课题(2020YJKT13)
关键词
动静脉内瘘
穿刺
信息化
满意度
arteriovenous fistula
puncture
informatization
satisfaction
