摘要
目的:分析内瘘分级管理在慢性肾脏病(CKD)5期维持性血液透析中的可行性。方法:回顾性分析皖西卫生职业学院附属医院肾内科2022年1月至2023年5月收治的100例CKD 5期维持性血液透析患者,均分为对照组和观察组。比较两组各项指标差异。结果:观察组的重复穿刺率、并发症总发生率低于对照组,管理后的血流动力学指标、肾功能指标优于对照组,患者满意度高于对照组(P<0.05)。结论:在CKD 5期维持性血液透析中内瘘分级管理可以降低重复穿刺率、改善血流动力学与肾功能与并发症总发生率、患者满意度高,内瘘功能更好,值得推广。
Objective:To analyse the feasibility of graded management of endovascular fistulae in stage 5 maintenance haemodialysis in chronic kidney disease(CKD).Methods:Retrospective analysis of 100 cases of CKD stage 5 maintenance haemodialysis patients admitted to the Department of Nephrology of Anhui West Health Vocational College Affiliated Hospital from January 2022 to March 2023 were divided into the control group and the observation group.Differences in the indicators of the two groups were compared.Result:The repeated puncture rate and total incidence of complications in the observation group were lower,and the hemodynamic and renal function indicators after nursing care were better.Patient satisfaction was higher(P<0.05).Conclusion:In CKD stage 5 maintenance hemodialysis,internal fistula grading nursing can reduce the rate of repeated puncture,improve hemodynamics and renal function,and have a high overall incidence of complications,patient satisfaction,and better internal fistula function,which is worth promoting.
作者
费远梅
房妍妍
Fei Yuanmei;Fang Yanyan(Department of Nephrology,Anhui West Health Vocational College Affiliated Hospital,Lu'an 237008,Anhui,China)
出处
《现代科学仪器》
2024年第1期130-134,共5页
Modern Scientific Instruments
关键词
内瘘
分级管理
慢性肾脏病
维持性血液透析
内瘘功能
internal fistula
graded management
chronic renal disease
maintenance hemodialysis
internal fistula function
