摘要
目的分析慢性肾衰竭患者血液透析治疗中自体动静脉内瘘(Cimino-brescia Arteriovenous Fistula,AVF)和带隧道涤纶套透析导管(Tunneled Cuff Catheter,TCC)血管通路应用的效果。方法非随机选取2021年3月—2023年7月江苏省高邮市人民医院收治的127例慢性肾衰竭患者作为研究对象,按照治疗方法不同分为AVF组(63例)和TCC组(64例),比较两组的血液透析效果、肾功能水平、并发症发生率。结果AVF组的血液透析指标高于TCC组,肾功能水平低于TCC组,差异有统计学意义(P均<0.05)。AVF组的并发症发生率(3.17%)低于对照组(14.06%),差异有统计学意义(χ^(2)=4.757,P<0.05)。结论在慢性肾衰竭患者接受血液透析治疗期间,采取AVF血管通路能有效改善血液透析的效果和肾功能水平。
Objective To analyze the effects of cimino-brescia arteriovenous fistula(AVF)and tunneled cuff catheter(TCC)vascular access in hemodialysis treatment of patients with chronic renal failure.Methods A total of 127 pa-tients with chronic renal failure admitted to Gaoyou People's Hospital of Jiangsu Province from March 2021 to July 2023 were non-randomly selected as the study objects.They were divided into AVF group(63 cases)and TCC group(64 cases)by different treatment modalities.The hemodialysis effect,renal function level and complication rate of the two groups were compared.Results The hemodialysis index of AVF group was higher than that of TCC group,and the renal function level was lower than that of TCC group,and the differences were statistically significant(both P<0.05).The complication rate of AVF group(3.17%)was lower than that of control group(14.06%),and the difference was sta-tistically significant(χ^(2)=4.757,P<0.05).Conclusion AVF vascular access can effectively improve hemodialysis and renal function in patients with chronic renal failure during hemodialysis treatment.
作者
凡雪华
胡月
张鹏程
FAN Xuehua;HU Yue;ZHANG Pengcheng(Department of Nephrology,Gaoyou People′s Hospital of Jiangsu Province,Gaoyou 225600,Jiangsu,China)
出处
《系统医学》
2024年第13期101-103,108,共4页
Systems Medicine
