摘要
目的分析血液透析患者自体动静脉内瘘血栓形成的相关因素。方法从医院2018年3月-2019年2月接受血液透析的患者中选取64例为研究对象,根据患者动静脉内瘘有无形成血栓的情况分为出现血栓28例为血栓组,未出现血栓36例为畅通组。比较2组患者的各项指标,分析形成血栓的相关因素。结果血栓组收缩压及舒张压低于畅通组,血栓组超滤量、促红素用量、穿刺次数及糖尿病患者比例均高于畅通组(P<0.05);2组患者内瘘相关参数(动脉平均直径、静脉平均直径、内瘘使用期限)比较差异无统计学意义(P>0.05)。结论血液透析患者自体动静脉内瘘血栓形成的原因与患者过度超滤、血压低、原发病为糖尿病肾病等均有密切关系,同时还与护理因素有关,如穿刺不当等,都可引起血栓形成,不仅增加患者痛苦,还加重经济负担,因而应制定有效的干预措施,提高护理质量,降低自体动静脉内瘘血栓形成几率。
Objective To analyze the related factors of autologous arteriovenous fistula thrombosis in hemodialysis patients.Methods Sixty-four patients who underwent hemodialysis from March 20 to February 2019 were selected.According to the patient’s arteriovenous fistula,there were 28 cases of thrombosis group and 36 cases of smooth group.The indicators of the two groups of patients were compared and the factors associated with thrombosis were analyzed.Results The systolic blood pressure and diastolic blood pressure in the thrombus group were lower than those in the smooth group.The ultrafiltration volume,erythromycin dosage,puncture frequency and proportion of diabetic patients in the thrombus group were higher than those in the smooth group(P<0.05).There were no significant differences in the parameters of internal hemorrhoids(mean diameter,average diameter of veins,and duration of internal hemorrhoids)between the two groups(P>0.05).Conclusion The causes of autologous arteriovenous fistula thrombosis in hemodialysis patients are closely related to excessive ultrafiltration,low blood pressure,and primary disease of diabetic nephropathy.At the same time,it is also related to nursing factors,such as improper puncture,which can cause thrombosis,which not only increases the suffering of patients,but also increases the economic burden.Therefore,effective intervention measures should be developed to improve the quality of care and reduce the risk of autologous arteriovenous fistula thrombosis.
作者
钟小燕
杨枫
王明哲
ZHONG Xiaoyan;YANG Feng;WANG Mingzhe(Fuzhou First Hospitaly Fujian Province,Fuzhou 350009,China)
出处
《临床合理用药杂志》
2019年第32期11-12,共2页
Chinese Journal of Clinical Rational Drug Use
基金
福州市科技计划、榕科(2017)141号(No:2017-S-129-2)
关键词
血液透析
自体动静脉内瘘
血栓形成
形成原因
Hemodialysis
Autologous arteriovenous fistula
Thrombosis
Cause of formation
