2种穿刺方法对提前启用动静脉内瘘的影响

目的 探讨2种穿刺方法对维持性血液透析患者提前启用动静脉内瘘的影响.方法 将接受血液透析的患者42例随机分为实验组和对照组各21例,实验组采用顺穿法,对照组采用逆穿法,比较2组动脉出路一次穿刺成功率、皮下血肿发生率及透析2年内动静脉内瘘并发症的发生率,进行X2检验.结果 实验组穿刺成功率显著高于对照组,皮下血肿发生率显著低于对照组;透析2年内瘘并发症发生率实验组显著低于对照组.结论 血液透析患者早期启用动静脉内瘘可以选择内瘘肘部头静脉或贵要静脉作为动脉出路向心方向穿刺.

Influence of two kinds of puncture methods on early application of arteriovenou internal fistula for patients with hemodialysis

Objective To know the influence of two kinds of puncture methods on early application of atteriovenou internal fistula for patients with hemodialysis. Methods Divided 42 patients with hemodialysis into the experimental group and the control group randomly, there were 21 cases in the each group. Directed puncture was used in the experimental group, while the opposite puncture was used in the control group, com-pared the first successful rate of puncture, incidence rate of ecchymosis and the incidence rate of internal fistu-la- associated complications between the two groups. Results The first successful rate of puncture in the ex-perimental group was higher than in the control group, the incidence rate of ecchymosis and tile incidence rate of internal fistula-associated complications was significant higher in the control gorup than that in the experi-mental group respectively. Conclusions For patients with dialysis, it is suitable to select internal fistula ulnar vein and basilic vein as artery exit for centripetal puncture during the early period of arteriovenous fistula.