透析患者自体动静脉内瘘物理评估与实施建议

Evaluation and Suggestion on Physical Examination of Arteriovenous Fistula in Dialysis Patients

物理检查是日常医护人员最常用的动静脉内瘘评估方法,简便易行。AVF的物理评估经济、简便、无创、有效,在判断内瘘成熟和并发症监测方面意义重大。由于每种血管通路优缺点共存,理想的监测方案应该将日常常规物理评估与其他监测技术相结合。本文对动静脉内瘘物理评估的主要方法、应用价值、实施情况以及存在的问题和争议进行总结分析。

Physical examination is the most commonly used method to evaluate arteriovenous fistula(AVF)by medical staff.As the physical examination of AVF is economical,simple,non-invasive,and effective,and it is of great significance in judging the maturity of internal fistulas and monitoring complications.Due to the coexistence of advantages and disadvantages of each vascular access,the ideal monitoring protocol should combine routine physical examination with other monitoring techniques.This article summarized and analyzed the main methods,application value,implementation,and existing problems and controversies of AVF physical examination.