双动脉血路改善血液透析血流量不足护理.docVIP

双动脉血路改善血液透析血流量不足护理 　　[摘要] 目的：选择适宜的血管穿刺法建立血液透析临时血管通路，以缩短操作时间、提高穿刺成功率、减轻患者经济负担，并达到血液透析所需的满意血流量。方法：1.5年间(2005.11~2007.04)对120例行血液透析治疗病人，根据不同患者的血管、经济情况，分别采用股静脉穿刺置管法(60例)、双动脉血路法(60例)。对2种血管穿刺法体外循环血流量、 操作时间、一次穿刺成功率及价格进行比较。 结果：2种血管穿刺法都能达到满意的血流量(150~250 ml／min)，股静脉穿刺置管法操作时间是10~30 min，一次穿刺成功率90%，价格昂贵；双动脉血路法操作时间是1~2 min、一次穿刺成功率97%、价格便宜。结论：双动脉血路法比股静脉穿刺置管法具有操作时间短，一次穿刺成功率高的优点， 并减轻病人经济负担，又能达到血液透析所需的满意血流量。 　　[关键词] 双动脉血路；血液透析；血流量不足 　　[中图分类号]R459.5 [文献标识码]C [文章编号]1673-7210（2007）11（b）-058-02 　　 　　Nursingofdoublearterialvascularaccesstoimproveinsufficienceofbloodflow 　　LIZhi-ting， BAO Qun-mei，LIN Qiu-hua，CHENG Jian-ping，ZHANG Wei-ying，HUANG Chun-xia，MA Jie-ru 　　（The First Peoples Hospital of Zhaoqing City， Zhaoqing526021） 　　[Abstract] Objective： Select appropriate vascular puncture to establish temporary vascular access for hemodialyis in order to shorten the time of operation， increase the success rate of puncture， lighten the economic burden， achieve the satisfied blood flow for hemodialysis.Methods：120 hemodialysispatients in 1.5 yearsundergone femoral vein catheterization（60 cases）and doublearterial vascular access（60 cases）， respectively， according to patients， vessel andeconomic situation. Pump blood flow， hours of operation， puncturesuccess rate and cost of two kinds of vascular puncture were compared. Results：Blood flow from two ways of bloodvesselpuncture was satifactory. Time of femoral vein catheterization method was10~30 min， success rate ofpuncture was 90%， cost was more expensive; Those of doublearterialvascular access were 1~2 min， 97% andcheaper. Conclusion：Double arterial vascular access way is a shorter operationtime， higher success rate of puncture andless vascular complicationmethod than femoral vein catheterization method，while lightening the economic burden of patients and maintainingthe satisfied blood flow for hemodialysis. 　　[Key words] Double arterial vascular access； Hemodialysis；Insufficience of blood flow 　　 　　动脉穿刺是急性透析患者快捷、经济、有效的方法， 但直接动脉穿刺有时因选