摘要
目的探究锐针绳梯穿刺法和钝针扣眼穿刺法在血液透析动静脉内瘘中的应用效果。方法选取2016年6月至2018年8月于本院血液透析中心实施动静脉内瘘维持性血液透析治疗方式的120例患者作为研究对象,随机分为对照组与观察组,每组60例。观察组实施钝针扣眼穿刺法,对照组实施锐针绳梯穿刺法,比较两组内瘘血流量、穿刺成功率、渗血率、感染率、疼痛程度、穿刺满意率。结果观察组内瘘血流量大于对照组(P<0.05)。观察组穿刺成功率为98.9%,高于对照组的87.0%,渗血率为3.4%,低于对照组的16.8%,差异有统计学意义(P<0.05),两组感染率比较差异无统计学意义。观察组疼痛程度轻于对照组,差异有统计学意义(P<0.05)。观察组穿刺满意率高于对照组(P<0.05)。结论钝针扣眼穿刺法可有效提升成功率,降低渗血率、疼痛感和感染率,值得临床推广应用。
Objective To explore the application effect of sharp needle rope ladder puncture method and blunt needle buttonhole puncture method in hemodialysis arteriovenous fistula.Methods 120 patients who underwent arteriovenous atrophy maintenance hemodialysis treatment in the hemodialysis center of our hospital from June 2016 to August 2018 were selected as the research subjects,and they were randomly divided into control group and study group,with 60 cases in each group.The study group was performed with blunt needle buttonhole puncture,while the control group was performed with sharp needle rope ladder puncture method,the blood flow of the internal fistula,puncture success rate,oozing rate,infection rate,pain degree,and puncture satisfaction rate between the two groups were compared.Results The blood flow of the internal fistula in the study group was greater than that in the control group(P<0.05).The puncture success rate in the study group was 98.9%,which was higher than 87.0%in the control group,and the bleeding rate was 3.4%,which was lower than 16.8%in the control group,and the difference was statistically significant(P<0.05).There was no statistical significance difference in the infection rate between the two groups.The pain degree in the study group was lighter than that in the control group,and the difference was statistically significant(P<0.05).The puncture satisfaction rate of the study group was higher than that of the control group(P<0.05).Conclusion The blunt needle buttonhole puncture can effectively improve the success rate,reduce the bleeding rate,pain and infection rate,and is worthy of clinical application.
作者
熊渝英
柳助岚
马婷
邓燕芳
胡应红
XIONG Yuying;LIU Zhulan;MA Ting;DENG Yanfang;HU Yinghong(Department of Hemodialysis,Jianli Hospital of Traditional Chinese Medicine,Jingzhou,Hubei,433300,China)
出处
《当代医学》
2022年第24期83-86,共4页
Contemporary Medicine
关键词
血液透析
动静脉内瘘
穿刺法
Hemodialysis
Arteriovenous fistula
Puncture
