血液透析应用钝针穿刺动静脉内瘘的优点

Advantages of Hemodialysis Using Blunt Needle Puncture for Arteriovenous Fistula

目的探讨血液透析患者应用钝针穿刺动静脉内瘘的优点。方法收集我院2015年3月—2017年12月70例血液透析患者,随机分组,对照组给予锐针穿刺动静脉内瘘,干预组给予钝针穿刺动静脉内瘘。比较结果。结果干预组一次穿刺成功率高于对照组,P <0.05;干预组穿刺过程疼痛程度优于对照组,P <0.05;干预组渗血概率低于对照组,P <0.05;干预组假性动脉瘤概率低于对照组,P <0.05;干预组血管狭窄和血栓概率低于对照组,P <0.05。结论血液透析患者实施钝针穿刺动静脉内瘘效果好,可减轻疼痛程度;减少渗血概率;降低假性动脉瘤概率;降低血管狭窄和血栓概率。

Objective To explore the advantages of blunt needle puncture for arteriovenous fistula in hemodialysis patients.Methods 70 cases of hemodialysis patients in our hospital from March 2015 to December 2017 were randomly divided into two groups.The control group was given acute needle puncture arteriovenous fistula,and the intervention group was given blunt needle puncture arteriovenous fistula.The results were compared.Results The success rate of puncture in the intervention group was higher than that in the control group,P<0.05;The pain degree of puncture in intervention group was better than that in control group,P<0.05;The bleeding rate in the intervention group was lower than that in the control group,P<0.05;The probability of pseudoaneurysm in intervention group was lower than that in control group,P<0.05;The probability of stenosis and thrombosis in the intervention group was lower than that in the control group,P<0.05.Conclusion The blunt needle puncture of arteriovenous fistula in hemodialysis patients is effective and can reduce the degree of pain,reduce the probability of bleeding,reduce the probability of pseudoaneurysm,reduce the probability of vascular stenosis and thrombosis.