超高压球囊扩张术治疗维持性血液透析患者动静脉内瘘狭窄中的护理体会

Nursing care in ultra-high pressure balloons angioplasty treatment of arteriovenous fistula stenosis in hemodialysis patients

目的分析因动静脉内瘘狭窄行超高压球囊扩张术的血液透析患者的护理经验。方法对14例动静脉内瘘患者行超高压球囊扩张术,术中透视下导丝引导超高压球囊至狭窄部位,逐级扩张。术前进行包括心理和常规护理在内的准备,术中手术护士做好器械配合及耗材管理,术后使用扣眼式穿刺法做透析滤过清除对比剂,同时进行宣教等护理工作。结果 14例血液透析患者术后进行血滤治疗测试血流量均≥250ml/min,平均(270.00±27.33)ml/min。所有患者均顺利完成当次血液净化治疗,无血管破裂、出血、感染和血管栓塞发生。结论悉心护理可促进患者康复,有效提高术后治疗效果。

Objective To investigate the nursing care in ultra-high pressure balloon dilatation for treating in patients with hemodialysis patients. Methods The patients with arteriovenous fistula were treated with ultra-high pressure balloon dilatation. Under fluoroscopy guidance the ultra high pressure balloon was used to dilate the stenosis. Preoperative preparation included psychological and routine care. Results Blood flow in all the 14 patients with hemodialysis was ≥ 250 ml/min, mean （270.00± 27.33） ml/min. All patients were successfully completed the treatment, there were no angiorrhexis, bleeding, infection and embolism. Conclusion Careful nursing can promote the rehabilitation of patients, improve the effect of postoperative treatment.