血液透析应用动静脉留置针的护理探讨

Nursing on Artery and Venous Indwelling Needle in Hemodialysis Patients

目的:比较留置针穿刺与中心静脉插管及股静脉插管建立临时血液透析通路的优缺点。方法:24人96次使用了16G留置针直接动静脉穿刺。结果留置针直接穿刺均一次成功,顺利完成血液透析。观察建立动静脉留置针临时血管的成功率、血流量、并发症、清除率、护理等。结果:动静脉留置针与中心静脉插管和股静脉插管无明显差异。结论:动静脉留置针在血液透析中可以代替中心静脉插管和股静脉插管,使用该技术可以明显降低成本。

Objective： To compare the advantage and disadvantage of hemodialysis pathway of indwelling needle by central venous and femoral venous catheters. Method： 16G venous indwelling needle were acpunctured directly in 24 patients for 96 times. All of them underwent hemodialysis successfully with once acpuncture, observed the successful rate of temporary venous indwelling needle, blood voume, complication, eradication rate and nursing. Result： There＇s no significance difference between artery and venous indwelling needle and central uenous and femoral venous catheters. Conclusion： It can decrease the expernse with artery and verous indwelling needle instead of central venous and femoral venous catheters.