糖尿病肾病维持性血液透析患者动静脉内瘘的临床护理研究

Clinical nursing research on arteriovenous fistula in maintenance hemodialysis patients with diabetic nephropathy

目的总结糖尿病肾病维持性血液透析患者动静脉内瘘的临床护理措施。方法选择2004～2012年本院收治确诊的糖尿病肾病患者64例为研究对象，64例患者随机分为常规护理组32例、加强护理组32例。全部患者均建立血管通路进行维持性血液透析，回顾性分析全部患者动静脉内瘘的护理措施及效果。结果经治疗护理，常规护理组有7例患者出现并发症，并发症发生率为21．9％；加强护理组患者仅有1例患者出现并发症．并发症发生率为3．1％，两组差异有统计学意义（P〈O．05）。结论加强临床护理能够减少糖尿病肾病维持性血液透析患者动静脉内瘘并发症发生。

Objective To summarize the clinical nursing measures of arteriovenous fistula in maintenance hemodialysis patients with diabetic nephropathy. Methods 64 cases of patients with diabetes nephropathy diagnosed in our hospital from 2004 to 2012 were randomly divided into routine nursing group of 32 cases and intensive nursing group of 32 cases. All patients were given maintenance hemodialysis. A retrospective analysis on the nursing measures and curative effect of arteriovenous fistula on all patients was conducted. Results After treatment and nursing, complications were found in 7 cases of routine nursing group, the complication rate was 21.9%. Only 1 case has complication in intensive nursing group, the incidence of complications was 3.1%. The incidence of complications in two groups compared, the differences was significant（P〈0.05）. Conclusion The clinical nursing can reduce the occurrence of arteriovenous fistula complications on maintenance hemodialysis patients with diabetic nephropathy.