摘要
目的探讨内瘘血栓形成阻塞后溶栓治疗的最佳护理方法和时机。方法对我院2001年~2011年间收治的126例采用两种不同护理方法的内瘘血栓阻塞病例溶栓治疗的效果进行回顾性分析。结果根据内瘘吻合方式不同,采用改良护理操作方法小剂量尿激酶小针头局部注射效果优于大剂量用药,本组总成功率为75.4%,6 h内溶栓成功率为88.2%。结论改良护理操作小剂量尿激酶小针头局部注射的方法,溶通率与国人常用操作方法无明显差异,但操作简单,用尿激酶剂量小,对全身凝血功能无影响,无并发症,采用改良护理操作,疗效肯定,值得推广应用;6 h内溶栓溶通率高于6 h后,提示内瘘血栓应早发现、早治疗。
Objective To discuss the proper time and best nursing method of thrombolytic therapy after the occlusion of internal fistula thrombus.Methods A retrospective analysis was made on the effect of two different nursing methods on thrombolytic therapy for 126 cases with internal fistula thrombus occlusion treated in our hospital from 2001 to 2011. Results Based on the different ways through which the internal fistula anastomoses, the effect of adopting improved nursing methods to inject small doses of urokinase locally by using small needles is much better than injecting large doses of medication. The total successful rate of this group was 75.4% and the successful rate of thrombolysis within 6h was 88.2%.Conclusion There is no significant difference between the thrombolytic rates of the improved nursing operation method of local injection of small-dose urokinase with small needle and the thrombolytic rate of commonly used method of care, but the former is simpler in operation with a smaller dose of urokinase and no complications. It has no effect on the whole body cruor function and the thrombolytic rate within 6h is significantly higher than that after 6h.
关键词
动静脉内瘘
血栓形成
溶栓
改良
护理方法
Arteriovenous fistula
Thrombosis
thrombolysis
Improved nursing method
