不同血管穿刺法对血液透析患者动静脉内瘘并发症的影响

Effect of Different Blood v Vessel Puncture on the Complications of Arteriovenous Fistula in Hemodialysis Patients

目的探讨不同血管穿刺法对血液透析患者动脉内瘘并发症的影响。方法选取30例需要以动静脉内瘘作为血管通路的血液透析患者随机分为观察组和对照组,对照组采用常规穿刺法,观察组采用扣眼穿刺法,比较两组患者的穿刺时不良事件的发生率、内瘘止血情况、血管壁的变化、内瘘并发症以及血液透析的效果变化。结果观察组渗血、血肿的发生率低于对照组,差异有统计学意义(P<0.05)。观察组6个月后的内瘘止血时间少于对照组,血管壁厚度小于对照组,并发症的发生率低于对照组,差异均有统计学意义(P<0.05)。结论扣眼穿刺法能够减少动静脉内瘘的穿刺不良事件和血管增生,减少内瘘并发症,值得推广。

Objective To investigate the effect of different blood vessel puncture on the complications of arterial fistula in hemodialysis patients. Methods 30 cases of hemodialysis dialysis patients with arteriovenous fistula were random Ly divided into the observation group and the control group,the control group was used routine puncture method,the observation group was given buttonhole puncture,the two groups were compared of adverse events rate of puncture,internal fistula,blood vessel wall,complications and the effect of hemodialysis. Results The incidence rate of blood and hematoma in the observation group was lower than that in the control group,the difference was statistically significant（P0.05）. the internal fistula after 6 months in observation group was less than that in the control group,the blood vessel wall thickness was lower than that in the control group,the incidence of complications was lower than that in the control group,the difference was statistically significant（P0.05）. Conclusion Buttonhole puncturing method can reduce the internal arteriovenous fistula puncture adverse events and vascular proliferation,reduce complications of fistula. It is worthy of promotion.