改进血管通路连接法在内瘘穿刺中的应用研究

Application of improved vascular access connection in arteriovenous fistula puncture

目的观察改进血管通路连接法在动静脉内瘘静脉穿刺失败中的应用效果。方法将2011年6月至2012年9月期间采用传统法处理动静脉内瘘静脉穿刺失败的125例设为传统组;2012年10月至2013年10月期间采用改进血管通路连接方法处理动静脉内瘘静脉穿刺失败的130例患者设为观察组。比较传统组和观察组的穿刺成功率和重新穿刺率。结果传统组穿刺成功率为92.8%,重新穿刺率为100.0%;观察组穿刺成功率为99.2%,重新穿刺率为7.7%。2组穿刺成功率差异无统计学意义(P>0.05),重新穿刺率差异有统计学意义(P<0.05)。结论改进血管通路连接法是处理动静脉内瘘静脉穿刺失败的有效措施,可以避免重新穿刺,减轻患者重复穿刺的痛苦,对内瘘血管有保护作用。

Objective To observed the application effect of improved vascular access connection in the treatment of arteriovenous fistula puncture failure.Methods 125 cases of arteriovenous fistula puncture failure treated by traditional method from June 2011 to October 2012 were enrolled in tradition group,and 130 cases of arteriovenous fistula puncture failure treated by improved vascular access connection from October 2012 to October 2013 were enrolled in observe observation group.The vascular puncture success rates and repuncture rates of two groups were compared.Results The vascular puncture success rate and repuncture rate of tradition group were 92.8% and100.0% respectively,and those of observation group were 99.2% and 7.7% respectively.There was no significant difference of vascular puncture success rates between two groups（P〉0.05）,while the repuncture rates of two groups were significantly different（P〈0.05）.Conclusion Improved vascular access connection is an effective measure for the treatment of arteriovenous fistulapuncture failure,which can avoid repuncture,alleviate the suffering of repeated puncture,and be good for the protection of arteriovenous fistula.