股静脉与颈内静脉临时置管在血液透析中的应用比较分析

Comparison between temporary pipe in internal jugular vein and femoral vein for hemodialysis

目的比较股静脉与颈内静脉临时置管在血液透析中的使用情况。方法采用回顾性对照研究,将60例需血液透析而未建立动、静脉内瘘临时置管患者分为两组,股静脉临时置管组30例,颈内静脉临时置管组30例。观察两组患者导管使用寿命、并发症、透析血流量、Kt/v值等指标。结果颈内静脉组使用寿命(80±11)d,而股静脉组(25±11)d,有统计学差异(P<0.05)。颈内静脉导管感染率,堵塞率明显低于股静脉组(P<0.05),两组透析的血液量、Kt/v值差异无显著性。结论对建立血液透析血管通路,股静脉及颈内静脉临时置管是较好的通路,颈内静脉优于股静脉。

Objective: To compare the application of temporary pipe in femoral and internal jugular vein on hemodialysis.Methods:A retrospective control study was carried out to compare clinical datas including the cather survival,related complications,mean blood flow during hemodialysis and Kt / V on 30 patients with temporary pipe in internal jugular vein and 30 patients in femoral vein.Results:The service life of internal jugular vein group was(80 ± 11)d,the femoral vein group was(25 ± 11)d,and the difference was significant(P < 0.05).The infection rate and blockage rate in internal jugular vein group were significant lower than the femoral vein group,but the mean blood flow during hemodialysis and Kt / v had no difference between two groups.Conclusion:The pipes in femoral and internal jugular vein are good for hemodialysis,and internal jugular vein are better than femoral vein.