摘要
目的比较两种穿刺方法对自体动静脉内瘘功能状态的影响,探讨科学的内瘘穿刺法。方法将52例维持性血液透析患者随机分为2组,每组26例。观察组26例患者动静脉内瘘按传统针尖斜面向上穿刺成功后,按住针柄转动针体,以针体圆点提示转动180°,即使针尖斜面向下并固定;对照组采用传统针尖斜面向上穿刺并常规固定。比较2组的透析效果有无差异及2组患者内瘘并发症发生率。结果2组的透析效果差异无显著性(P>0.05),观察组患者内瘘并发症发生率比对照组明显减少(P<0.05)。结论动静脉内瘘穿刺后针尖斜面向下固定进行透析能保证透析效果,减少内瘘并发症的发生率,自体动静脉内瘘的穿刺可选择针尖斜面向下固定透析。
Objective To compare between two kinds of puncture methods for arteriovenous fistula;probe into scientific centesis for inner fistula.Methods Divide 52 maintenance hemodialysis patients into two randomized groups, 26 patients in trial group. There were 26 cases in the control group,adopting the traditional method with needlepoint slant upwards puncturing, pressing needle handle and turn the needle centering on the body needle in a haft-coil circle to make the needlepoint slant downwards and then fixing the needle. In control group, adopting traditional needlepoint slant puncturing upwards and be fixed.Comparing effects of two kinds of puncture methods on the hemodialysis and the complications incidence rates between two groups.Results There was no significant difference in hemodialysis efficiencies of the two methods of centesis (P〉0.005) ,the complication incidence rate of observation group is much lower than the matched group (P〈0.005).Conclusion Fixing the needlepoint slant downwards after puncturing the arteriovenous fistula could ensure the hemodialysis efficiency and reduce the fistula complication incidence rate. The method of centesis of fixing the needlepoint slant downwards could be adopted for the hemodialysis patients with arteriovenous fistula.
出处
《基层医学论坛》
2008年第15期392-393,共2页
The Medical Forum
关键词
血液透析
动静脉内瘘
穿刺方法
护理
Hemodialysis Arteriovenous fistula Puncture method Nursing