不同穿刺方法对动静脉内瘘早期应用效果研究

Effects study for the application of different puncture methods on early arteriovenous fistula

目的探讨血液透析患者动静脉内瘘早期穿刺不用止血带的可行性。方法选择我院49例患者,随机分成对照组25例和实验组24例。对照组采用止血带压迫穿刺,实验组不采用止血带。观察两组前10次内瘘穿刺情况,比较两种方法穿刺前压迫内瘘时间、穿刺成功率和动脉端穿刺渗血情况。结果两组患者在年龄、性别、原发病、抗凝剂使用等方面无明显差异,一次性穿刺成功率差异无统计学意义(P>0.05),穿刺后渗血情况组间差异明显,实验组少于对照组(P<0.05),穿刺前压迫内瘘时间两组间差异有统计学意义(P<0.01)。结论动静脉内瘘早期穿刺不用止血带,不影响一次性穿刺成功率,并能减少穿刺点渗血的发生率,节省时间。

Objective To study the feasibility of early arteriovenous fistula（AVF）puncture without using tourniquet.Method 49 patients in our hospital were recruited in this study.All the patients＇ fistula had not been used before.The patients were divided into two groups,using or not using tourniquet during fistula puncture（n=25and 24respectively）.The time of repression before AVF puncture,the success rate and local bleeding complication after AVF puncture were observed and compared between the two groups.Result There was no significant difference regarding age,gender,primary disease and the use of anticoagulation therapy between the two groups（P〈0.05）.Patients who did not receiving tourniquet repression during AVF puncture had shorter repression time and a lower incidence of bleeding complication（P〉0.05）.The success rates of puncture between the two groups were similar（P〈0.05）.Conclusion Early AVF fistula puncture without tourniquet does not affect the one-time success rate of puncture,and can reduce the incidence of puncture bleeding and save time.