改良型钝针扣眼法在血液透析内瘘穿刺中的应用.docVIP

精品论文 参考文献 改良型钝针扣眼法在血液透析内瘘穿刺中的应用 安涛 冷君熹 胡静 　　（四川省安岳县人民医院血透中心 四川 安岳 642350） 　　【摘要】 目的：选择安全有效内瘘穿刺方法对需进行血液透析治疗的患者进行穿刺，探究改良型钝针扣眼法的临床效果。方法： 选取我院2014.2～2015.3期间90例入院进行血液透析治疗的患者，分为传统组和改良组，按入院时间进行分配，每组45例。传统组采用内瘘普通穿刺，改良组采用改良型钝针扣眼法穿刺，观察比较两组半年后相关并发症情况、透析充分性且比较两种穿刺方法的成功率。结果：两组并发症发生率相比，传统组高达28.9%，改良组为13.3%，改良组较传统组并发症少，Plt;0.05；两组血液透析充分性相比，改良组较传统组血清白蛋白、Hct、Kt/V、血色素、URR各项指标好，Plt;0.05，两组穿刺成功率相比，传统组仅为73.3%，改良组高达88.9%，传统组较改良组穿刺成功率低，Plt;0.05。结论：对血液透析患者采用改良型钝针扣眼法进行内瘘穿刺，疗效好，并发症少，可临床推广应用。 　　【关键词】 血液透析；改良型；动静脉内瘘；钝针扣眼法 　　【中图分类号】R459.5 【文献标识码】A 【文章编号】2095-1752（2016）13-0034-02 　　The application of improved blunt needle buttonhole method in fistula puncture of hemodialysis Hemodialysis Center, Peoples Hospital of Anyue County, Sichuan Province, Anyue 642350,China 　　【Abstract】Objective Choose safe and effective in the need for blood dialysis fistula puncture of the patients with puncture, to explore the clinical effect of improved grommets blunt needle puncture. Method From our hospital during 2014.2 ~ 2015.3 90 cases admitted to hospital for blood dialysis patients, divided into conventional group and improvement group, according to admission time allocation, 45 cases in each group. Traditional group USES the internal fistula puncture, ordinary group using improved blunt needle buttonhole method, compare two groups of related complications after half A year, and dialysis adequacy. Results Two groups of complication rates compared to the traditional group of up to 28.9%, improved group was 13.3%, the modified fewer complications than traditional group, P lt; 0.05; Compared two groups of blood dialysis adequacy, improved than traditional group serum albumin, hemoglobin, Hct, Kt/V, the indicators URR, P lt; 0.05). Conclusion The fistula in hemodialysis patients using improved blunt needle buttonhole method puncture, good curative effect, fewer complications, clinical application and dissemination. 　　【Key words】Hemodialysis;Improved grommets blunt need