论文部分内容阅读
目的为减少血液透析患者内瘘穿刺并发症的发生,探讨钝针扣眼穿刺法在血液透析患者动静脉内瘘中的应用。方法将112例采用动静脉内瘘接受维持性血液透析治疗的尿毒症患者,随机分为钝针扣眼穿刺法(观察组)和传统方法穿刺(对照组)各56例。观察两组患者1年内、穿刺成功率及穿刺点渗血发生率、按压止血时间、患者疼痛度和血管瘤生成率。结果观察组穿刺成功率(98.9%)较对照组(92.0%)高;穿刺点的渗血发生率(0.03%)、按压止血时间(10.1min)、患者疼痛度(1.1)、血管瘤形成(0)较对照组(2.96%、21.6min、1.6、62.5%)较对照组低。结论钝针扣眼穿刺能提高一次性穿刺成功率,减少穿刺处渗血,缩短拔针后止血时间,减少血管瘤的形成,减轻患者痛苦。
Objective To reduce the occurrence of fistula puncture complications in patients with hemodialysis and to explore the application of needle puncture with blunt pinhole in arteriovenous fistula of hemodialysis patients. Methods One hundred and twelve patients with uremia who received arterial-venous fistula for maintenance hemodialysis were randomly divided into two groups: 56 cases in each group. The success rate of puncture and the incidence of puncture point bleeding, compression hemostasis time, pain degree and hemangioma formation rate were observed in two groups within one year. Results The success rate of puncture (98.9%) in the observation group was higher than that in the control group (92.0%). The incidence of bleeding at the puncture point (0.03%), bleeding time after pressing (10.1 min), pain degree 0) than the control group (2.96%, 21.6min, 1.6,62.5%) lower than the control group. Conclusions Blunt pinhole eyebolt puncture can improve the success rate of one-time puncture, reduce bleeding at puncture site, shorten the bleeding time after needle-pulling, reduce the formation of hemangiomas and alleviate the pain of patients.