程序化穿刺方法在血液透析患者动静脉内瘘穿刺中的应用

目的 探讨程序化穿刺方法对血液透析患者内瘘穿刺成功率及并发症的影响.方法 选取100例血液透析患者,随机分为观察组（n=50）和对照组（n=50）.观察组应用程序化动静脉内瘘穿刺法,对照组采用常规动静脉内瘘穿刺法.比较两组患者内瘘穿刺成功率、内瘘栓塞率及内瘘并发症的差异.结果 观察组一次穿刺成功率99.98%,对照组95.99%,差异有统计学意义（P〈0.05）,无一例患者出现内瘘栓塞及假性动脉瘤.穿刺后患者针眼渗血率观察组低于对照组（P〈0.01）.结论 应用程序化内瘘穿刺,可有效提高内瘘穿刺成功率,降低内瘘栓塞率及各种并发症.

Application of programming puncture method in patients with hemodialysis

Objective To explore effects of programming puncture method on success rate and complication inpatients with hemodialysis. Methods According to inclusion and exclusion criteria, 100 cases with hemodialysis were collected and were divided into two groups: the study group and the control group with 50 patients in each group. The study group performed programming puncture method while the control group conducted conventional puncture method. Success rate of puncture, incidence of fistula thrombosis and complications were compared between two groups. Results One-time success rate of puncture in study group was 99.98% higher than 95.99% in control group. Furthermore, no patient occurred fistula thrombosis and pseudoaneurysm in study group. In addition, in bleeding of puncture site, the study group was better than the control group too. Conclusions Programming puncture method can improve the success rate of fistula puncture, reduce the fistula thrombosis rate and other complications in patients with hemodialysis.