摘要
目的探讨彩色多普勒超声引导在慢性肾功能衰竭(CRF)患者建立血液透析血管通路中的作用。方法选取2019年1月至2020年1月收治于我院的共160例CRF患者,随机分为观察组和对照组各80例。观察组的患者在彩色多普勒超声引导下建立血管通路,对照组则由医师根据临床经验建立血管通路。比较两组患者的首次穿刺成功率、血管通畅率,血管通路建立1周与6个月后的头静脉直径、桡动脉直径、吻合口内径和动脉血流量。此外,还比较了两组患者的皮下血肿、血栓形成和局部血管硬化等并发症的发生率。结果观察组首次穿刺成功率、血管通畅率高于对照组(P<0.05)。与血管通路建立1周后比较,血管通路建立6个月后两组的头静脉直径、桡动脉直径、吻合口内径、动脉血流量均明显升高,且观察组均高于同期的对照组(P<0.05)。观察组的总并发症发生率亦低于对照组(P<0.05)。结论彩色多普勒超声引导能够显著改善CRF患者的血液透析血管通路建立,且并发症较少。
Objective To investigate the role of color Doppler ultrasound guidance in establishing vascular access for hemodialysis in patients with chronic renal failure(CRF).Methods A total of 160 CRF patients admitted to our hospital from January 2019 to January 2020 were selected,and randomly divided into an observation group and a control group with 80 cases each.The vascular access of patients in the observation group was established under the guidance of color Doppler ultrasound,while the vascular access of patients in the control group was established by physicians based on clinical experience.The two groups were compared in the success rate of the first puncture,vascular patency rate,as well as the diameter of the cephalic vein,diameter of the radial artery,diameter of the anastomosis,and arterial blood flow at 1 week and 6 months after establishment of the vascular access.Besides,the two groups were also compared in the incidence of complications such as subcutaneous hematoma,thrombosis,and local vascular sclerosis.Results The success rate of first puncture and vascular patency rate in the observation group were higher than those in the control group(P<0.05).The diameters of the cephalic vein,radial artery,and anastomosis,as well as blood flow of them were significantly greater at six months than at one week after establishing the vascular access(P<0.05).Besides,these were also higher in the observation group than in the control group at the same time points(P<0.05).The total incidence of complications in the observation group was also lower than that in the control group(P<0.05).Conclusion Color Doppler ultrasound guidance could significantly improve establishing vascular access for hemodialysis in the CRF patients,with fewer complications.
作者
崔转云
吕丽萍
常栋
Cui Zhuanyun;Lv Liping;Chang Dong(Department of Nephrology,Jincheng Second People′s Hospital,Jincheng 048000;Department of Nephrology,Jincheng Grand Hospital,Jincheng 048006,Shanxi Province,China)
出处
《中华肾病研究电子杂志》
2023年第4期205-209,共5页
Chinese Journal of Kidney Disease Investigation（Electronic Edition）
关键词
彩色多普勒超声
慢性肾功能衰竭
血管通路
并发症
Color Doppler ultrasound
Chronic renal failure
Vascular access
Complications
