超声实时引导应用于MHD患者疑难动静脉内瘘穿刺中的效果及在预防并发症方面的价值分析

Analysis of the effect of real-time ultrasound guidance on difficult arteriovenous fistula puncture in MHD patients and its value in preventing complications

目的:研究超声实时引导在维持性血液透析(MHD)患者疑难动静脉内瘘穿刺中的应用效果。方法:选取2021年3月—2023年3月盐城市第三人民医院收治的93例MHD患者参与试验。将其以随机数表法分为超声组(n=46,实施传统穿刺)及盲穿组(n=47,实施超声实时引导穿刺)。对比两组一次性穿刺成功率、疼痛程度、并发症发生情况、穿刺满意度。结果:超声组一次性穿刺成功率高于盲穿组,穿刺疼痛程度优于盲穿组,并发症总发生率低于盲穿组,穿刺总满意率高于盲穿组(P<0.05)。结论:超声实时引导应用于MHD患者疑难动静脉内瘘穿刺中的效果良好,可以提高一次性穿刺成功率,减轻穿刺疼痛程度,降低并发症发生率,获得良好的穿刺满意度。

Objective:To study the application effect of real-time ultrasound guidance in difficult arteriovenous fistula puncture in patients with maintenance hemodialysis(MHD).Methods:A total of 93 MHD patients admitted to Yancheng Third People's Hospital from March 2021 to March 2023 were selected to participate in the trial.They were divided into ultrasound group(n=46,traditional puncture)and blind puncture group(n=47,real-time ultrasound guided puncture)by random number table method.The one-time puncture success rate,pain degree,complications and puncture satisfaction were compared between the two groups.Results:The success rate of one-time puncture in ultrasound group was higher than that in blind group,the degree of puncture pain was better than that in blind puncture group,the total complication rate was lower than that in blind puncture group,and the total satisfaction rate of puncture was higher than that in blind puncture group(P<0.05).Conclusion:The application of real-time ultrasound guidance in difficult arteriovenous fistula puncture in MHD patients has a better effect,which can improve the success rate of one-time puncture,reduce the degree of puncture pain,reduce the incidence of complications,and obtain good puncture satisfaction.