维持性血液透析患者自体动静脉内瘘穿刺点渗血危险因素logistic回归分析.docVIP

精品论文 参考文献 维持性血液透析患者自体动静脉内瘘穿刺点渗血危险因素logistic回归分析 （中国中医科学院望京医院血液净化中心 100102） 【摘 要】目的：探讨引起维持性血液透析患者自体动静脉内瘘穿刺点渗血的危险因素，以期能为有效预防及降低内瘘穿刺点渗血率提供参考。方法：回顾性分析112例患者半年规律透析，将渗血次数ge;1次作为渗血组，将渗血次数＜1次作为对照组，分析引起血液透析患者自体动静脉内瘘穿刺点渗血的相关危险因素。结果：多因素logistic非条件回归分析结果显示皮肤弹性、穿刺方法、压迫方法与渗血有关，其中皮肤弹性好的患者是皮肤弹性差的患者发生渗血几率的0.007倍，绳梯式穿刺的患者是定点穿刺的患者发生渗血几率的0.016倍，压迫方法好的患者是压迫方法不好的患者发生渗血几率0.002倍。结论：维持性血液透析患者自体动静脉内瘘穿刺点渗血的发生与患者自身因素及护士操作因素均有关，针对相关危险因素应进行干预及预防，有利于降低维持性血液透析患者自体动静脉内瘘穿刺点渗血率的发生。 【关键词】维持性血液透析患者；自体动静脉内瘘；穿刺点渗血；危险因素；logistic回归分析 【中图分类号】R446.11+2 【文献标识码】B 【文章编号】1003-5028（2015）7-0215-02 【Abstract】objective：to study the autogenous arteriovenous fistula in patients with maintenance hemodialysis caused the puncture point of bleeding risk factors, in order to effectively prevent and reduce bleeding rate of fistula puncture point in to provide the reference.Methods：a retrospective analysis of 112 cases of patients with regular dialysis, six months will ooze blood number 1 or more times as ooze blood group, the number of ooze blood lt; 1 times as the control group, analyzing autogenous arteriovenous internal fistula in patients receiving hemodialysis puncture point ooze blood related risk factors.Results：multi-factor logistic unconditional regression analysis results showed that the skin elasticity, puncture method, compression method is associated with bleeding, which is the difference in skin elasticity of the skin resilient patients occurred 0.007 times the rate of bleeding, rope ladder type puncture patients is in patients with puncture of 0.016 times the rate of bleeding, patients with compression method good patients is oppression oozing rate 0.002 times.Conclusions：autogenous arteriovenous fistula in maintenance hemodialysis patients puncture point of ooze blood is related to the patients own factors and the nurse operation factors, related risk factors should be for intervention and prevention, reducing maintenance hemodialysis patients with autogenous arteriovenous fistula puncture p