股静脉单针双腔管留置在血液透析中的应用

The Application of Femoral Venous Single Needle with Double Channels Retained in Hemodialysis

目的探讨股静脉单针双腔管留置在血液透析中的应用价值。方法回顾性分析泰安市中心医院血液透析室2009年1月至2010年12月采用股静脉单针双腔管留置进行血液透析的患者33例,采用动静脉穿刺进行血液透析的患者27例;观察两组患者最大血流量,透析后血电解质、血尿素氮和肌酐含量,及治疗期间两组并发症发生情况,并进行比较。结果导管组最大血流量明显大于穿刺组,差异有统计学意义(P<0.05)。与穿刺组相比较,导管组血尿素氮和肌酐值明显降低,差异有统计学意义(P<0.05),血钾值降低而血钠值稍高,但差异无统计学意义(P>0.05)。导管组渗血发生率、血栓形成率和血流量不足率明显低于穿刺组,差异有统计学意义(P<0.05)。结论股静脉单针双腔管留置是一种安全可靠的透析用血管通路。

Objective To discuss the application value of femoral vein single needle with double channels retained in blood dialysis. Methods 33 cases of hcmodialysis through the femoral venous single needle with double channels retained from January 2009 to December 2010 in the Blood Purification Center of Taian Central Hospital and 27 cases of hemodialysis by artcriovenous puncture were analyzed retrospectively. The maximum blood stream, the content of blood electrolytes, blood urea nitrogen and creatinine, the complications during treatment in the two groups were observed and compared. Results The maximum blood stream in the catheter group was significantly higher than that in the puncture group （P 〈 0.05）. Compared with the puncture group, the catheter group had reduced blood urea nitrogen and creatinine with significant differences （P 〈0.05）, but had lower blood potassium value and higher sodium values with no significant differences （P 〉0.05）. The errhysis incidence, thrombosis rate and insufficient blood flow rate in catheter groups were significantly lower than those in puncture group and the difference had statistical significance （P〈0.05）. Conclusions Femoral vein single needle with double channels retained is a safe and reliable vascular access for blood hemodialysis.