摘要
目的探讨钝针与锐针扣眼穿刺法用于自体动静脉内瘘中对血液透析患者局部血流与动静脉内瘘保护的影响。方法选取2018年10月至2020年10月收治的200例以自体动静脉内瘘为血管通路的血液透析患者,按照治疗方式不同将其分为A组和B组,各100例。A组采用钝针扣眼穿刺法,B组采用锐针扣眼穿刺法。比较两组患者的一次穿刺成功率、疼痛程度、透析血流量、静脉压、尿素清除指数(KT/V)及并发症发生情况。结果 A组患者的一次穿刺成功率为99.00%,高于B组的93.00%,差异具有统计学意义(P<0.05);A组患者的疼痛程度优于B组,差异具有统计学意义(P<0.05)。两组患者的透析血流量、静脉压及KT/V比较,差异无统计学意义(P>0.05)。A组的并发症总发生率为5.00%,低于B组的19.00%,差异具有统计学意义(P<0.05)。结论钝针扣眼穿刺法和锐针扣眼穿刺法对以自体动静脉内瘘为血管通路的血液透析患者局部血流的影响均较小,但钝针扣眼穿刺法有助于降低穿刺难度,提高一次穿刺成功率,缓解疼痛程度,有效保护动静脉内瘘,减少相关并发症,值得推广。
Objective To explore the effects of blunt needle and sharp needle buttonhole puncture method for autogenous arteriovenous fistula on local blood flow and protection of arteriovenous fistula in hemodialysis patients.Methods A total of 200 hemodialysis patients with autologous arteriovenous fistula as vascular access admitted from October 2018 to October 2020 were selected,and the patients were divided into group A and group B according to different treatment methods,with 100 cases in each group.The group A received blunt needle buttonhole puncture method,and the group B received sharp needle buttonhole puncture method.The success rate of one puncture,pain degree,dialysis blood flow,venous pressure,urea clearance index(KT/V)and the occurrence of complications in the two groups were compared.Results The success rate of one puncture in the group A was 99.00%,which was higher than 93.00%in the group B,and the difference was statistically significant(P<0.05);the pain degree in the group A was better than that in the group B,and the difference was statistically significant(P<0.05).There were no significant differences in dialysis blood flow,venous pressure and KT/V between the two groups(P>0.05).The total incidence rate of complications in the group A was 5.00%,which was lower than 19.00%in the group B,and the difference was statistically significant(P<0.05).Conclusion Both blunt needle buttonhole puncture method and sharp needle buttonhole puncture method on local blood flow in hemodialysis patients with autologous arteriovenous fistula as vascular access have little effect,but the blunt needle buttonhole puncture method is helpful to reduce puncture difficulty,improve the success rate of one puncture,relieve pain,effectively protect arteriovenous internal fistula,and reduce related complications,which is worth promoting.
作者
李娟迎
刘苗
LI Juanying;LIU Miao(No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)
出处
《临床医学研究与实践》
2021年第22期166-168,共3页
Clinical Research and Practice
关键词
钝针
锐针
扣眼穿刺法
自体动静脉内瘘
血液透析
局部血流
blunt needle
sharp needle
buttonhole puncture method
autogenous arteriovenous fistula
hemodialysis
local blood flow
