动静脉内瘘早期使用的观察与护理

Observation of early usage of arterial and venous internal fistulae and nursing care

目的:探讨血液透析患者动静脉内瘘的早期使用对内瘘成熟及使用时间的影响。方法:观察组220例,内瘘成形术后早期(7~14d)即开始穿刺使用,对照组132例,内瘘成熟后再开始穿刺使用,对两组内瘘使用时间与内瘘成熟所需时间进行比较。结果:两组内瘘成熟所需时间比较有显著性差异(P【0.05),但两组内瘘使用时间比较无显著性差异(P】0.05)。结论:内瘘成形术后早期即开始穿刺使用,可促进内瘘成熟,且不影响其使用时间。

Objective: To explore the effect of early use of arterial and venous internal fistulae on the maturity of internal fistulae and the time of use. Methods: In the observation group (n=220), the early use for puncture (7-14 days) was adopted subsequently after fistulization, and the fistulae was used for puncture when they were mature in the control group (n=132). The comparison was made in the time of use of fistulae and the time of maturity of fistulae between the two groups. Results: The significant difference was shown in the time of maturity of fistulae (P<0.05) and no significant difference in the time limit of use (P>0.05). Conclusion: The early use of internal fistulae for puncture can speed up the maturity of internal fistulae and does not affect the time of use.