血液透析患者动静脉内瘘动脉瘤的护理干预

Blood dialysis patients nursing intervention on arteriovenous fistula aneurysm

目的:动静脉内瘘是血液透析患者的生命线,预见性护理干预以减少动脉瘤的发生及发展,延长瘘管寿命,提高护理质量。方法:60例血液透析动静脉内瘘患者随机分组,观察组30例采用改良穿刺法和优质护理干预。对照组30例采用传统穿刺法和常规护理。观察3个月两组患者动脉瘤的新发生例数,渗血情况以及原有动脉瘤多普勒彩超检查瘤体大小变化。结果:观察组动脉瘤的新发生例数明显低于对照组,观察组原有瘤体较对照组明显减小(P<0.05)。结论:改良穿刺法和优质护理能有效干预动脉瘤的发生及发展。

Objective: Arteriovenous fistula is the lifeline of hemodialysis patients, foreseeable nursing intervention to reduce the incidence and development of aneurysm, the syrinx lengthens life, improve the quality of nursing care.Methods: 60 cases of arteriovenous fistula in hemodialysis patients were randomly divided into observation group of 30cases:, improved puncture and the quality of nursing intervention. 30 cases of the control group: the traditional puncturing method and routine nursing care. The number of new cases were observed for 3 months to two groups of patients with aneurysms, oozing of blood as well as the original aneurysm Doppler color Doppler ultrasound examination of the changes in tumor size. Results:the group of aneurysm of the new cases was significantly lower than the control group, the observation group the original tumor was significantly reduced compared with the control group, P<0.05. Conclusion:the occurrence and development of improved puncture and the quality of nursing intervention can effectively aneurysm.