摘要
目的探讨分析血液透析中中心静脉留置导管不同置管方式的护理。方法选取1251例2010年3月至2013年3月期间在我院行血液透析的患者,根据置管情况将患者分为经颈外静脉、颈内静脉、保留经股静脉、永久置管四组。比较四组的置管时间和导管相关综合征。结果经股静脉组留置时间最短,平均(20.12±9.98)天,与颈内静脉平均(116.71±48.62)天、颈外静脉平均(110.36±42.67)天相比较,有统计学差异(P<0.01);后两组留置时间比较无统计学差异(P>0.05)。经股静脉组的各项并发症发生率均显著高于另外两组,有统计学差异(P<0.01)。结论对血液透析患者,中心静脉留置导管是血管理想通路选择,特别适用于血管条件不佳的患者,因此需要熟练掌握临床操作,有效预防并处理相关的导管综合征。
Objective This paper aims to analyze different ways of nursing care for indwelling catheter in central vein during hemodialysis. Methods From March 2010 to March 2013,1251 cases of hemodialysis patients were admitted to the hospital. According to the patients ＇ condition during the indwelling catheter treatment,they were respectively divided into four groups： external jugular vein,internal jugular vein,femoral vein and permanent catheter. The comparison of indwelling time and catheter- related syndromes were conducted among the four groups. Results The indwelling time of the femoral vein group was the shortest,（ 20. 12 ± 9. 98）days on average,which was significantly shorter than the internal jugular vein group（ 116. 71 ± 48. 62 days） and external jugular vein group（ 110. 36 ± 42. 67 days）,the differences were statistically significant（ P〈0. 01）.However,the comparison of the indwelling time between the last two groups showed no statistical difference（ P〈0.05）. In addition,the incidence of all kinds of complications of patients in the femoral vein group was significantly higher than those in the other two groups,the difference was statistically significant（ P〈0. 01）.Conclusions Central venous catheter is the ideal choice for patients with hemodialysis to achieve vascular access,especially for patients with poor vascular condition,need doctor be familiar with the clinical operation to effectively prevent and deal with catheter- related syndromes.
出处
《齐齐哈尔医学院学报》
2016年第11期1494-1495,共2页
Journal of Qiqihar Medical University
关键词
血液透析
中心静脉
置管方式
护理
Hemodialysis
Central Venous Catheter
Nursing Care
