CAJ | 학술논문

目的探讨护理干预对血液透析患者非常规动-静脉内瘘并发症的影响.方法选择32例行非常规动-静脉内瘘手术的血液透析患者按随机数字表法分为观察组(18例)和对照组(14例).观察组采用系统化护理干预,对照组采用常规护理,追踪观察12个月,比较2组患者护理后首次穿刺成功率、透析中的血流量、血管通路的并发症.结果观察组患者经护理干预后首次穿刺成功率和透析中的血流量与对照组比较差异有统计学意义(P＜0.01)；观察组患者血管通路并发症假性血管瘤形成和血管狭窄与对照组比较差异也有统计学意义(P＜0.01)；观察组患者局部血管硬化发生情况与对照组比较差异有统计学意义(P＜0.05).结论系统化地护理干预能够促进非常规动-静脉内瘘的成熟,明显减少内瘘并发症,提高了非常规动-静脉内瘘的使用寿命.
목적 탐토호리간예대혈액투석환자비상규동-정맥내루병발증적영향.방법 선택32례행비상규동-정맥내루수술적혈액투석환자안수궤수자표법분위관찰조(18례)화대조조(14례).관찰조채용계통화호리간예,대조조채용상규호리,추종관찰12개월,비교2조환자호리후수차천자성공솔、투석중적혈류량、혈관통로적병발증.결과 관찰조환자경호리간예후수차천자성공솔화투석중적혈류량여대조조비교차이유통계학의의(P＜0.01)；관찰조환자혈관통로병발증가성혈관류형성화혈관협착여대조조비교차이야유통계학의의(P＜0.01)；관찰조환자국부혈관경화발생정황여대조조비교차이유통계학의의(P＜0.05).결론 계통화지호리간예능구촉진비상규동-정맥내루적성숙,명현감소내루병발증,제고료비상규동-정맥내루적사용수명.
Objective To explore the affections of nursing intervention on complications of unconventional arteriovenous fistula in hemodialysis patients.Methods Blood dialysis patients with unconventional arteriovenous fistula operation were randomly divided into trial group (18)and control group (14).The control group was given systematic nursing intervention.The control group was given the routine care.Observe the first time success rates,the blood flow of dialysis and the complications of vascular access for 12 months.Results The trial group,s first time success rates and the blood flow of dialysis were better than those in control group.And the rates of vascular access pseudo hemangioma,local complications vascular sclerosis and hemal stricture in trial group were lower than those in control group.Conclusion Systematic nursing intervention can promote the mature of unconventional arteriovenous fistula,and significantly reduce complications of fistula,improve the service life of unconventional arteriovenous fistula.