CAJ | 학술논문

目的分析平行向心穿刺法在动静脉内瘘手术过程中建立血液净化血管通道中的临床应用，总结其可行性与应用价值。方法选取我院2011年1月到2013年6月收治的120例维持性血液透析患者作为研究对象，所有患者均行动静脉内瘘手术治疗，按照患者透析顺序编号将120例患者分为对照组与观察组，对照组患者采用传统穿刺法建立血液净化血管通路，观察组患者采用平行向心穿刺法建立血管通路，观察比较两组不同穿刺方法对透析速度效率与效果的影响。结果两组患者采用不同的穿刺方法均能够保证充足的透析血液流量，且不同的穿刺方法对患者透析前后尿素、尿酸、肌酐等指标变化的影响无明显差异，无统计学意义。结论与传统的穿刺方法相比，平行向心穿刺法能够保证充足的透析血流量，符合血液透析的操作要求，有助于在保证透析效果的基础上提升透析效率，应用效果较为理想，可以进行推广应用。
목적분석평행향심천자법재동정맥내루수술과정중건립혈액정화혈관통도중적림상응용，총결기가행성여응용개치。방법선취아원2011년1월도2013년6월수치적120례유지성혈액투석환자작위연구대상，소유환자균행동정맥내루수술치료，안조환자투석순서편호장120례환자분위대조조여관찰조，대조조환자채용전통천자법건립혈액정화혈관통로，관찰조환자채용평행향심천자법건립혈관통로，관찰비교량조불동천자방법대투석속도효솔여효과적영향。결과량조환자채용불동적천자방법균능구보증충족적투석혈액류량，차불동적천자방법대환자투석전후뇨소、뇨산、기항등지표변화적영향무명현차이，무통계학의의。결론여전통적천자방법상비，평행향심천자법능구보증충족적투석혈류량，부합혈액투석적조작요구，유조우재보증투석효과적기출상제승투석효솔，응용효과교위이상，가이진행추엄응용。
Objective To observe the clinical effect of parallel centripetal puncture on internal arteriovenous fistula operation, and evaluate the feasibility and application value. Methods 120 cases of hemodialysis received from January 2011 to June 2013 were divided into control group and observation group according to the serial numbers, all of which were treated with arteriovenous fistula op-eration. Control group were treated with traditional puncturing method while observation group were with parallel centripetal puncture. Effect and efficiency of dialysis rate were observed between the two groups. Results Both of the two group were ensured of adequate blood flow. There was no statistical significance between the two groups in terms of urea, uric acid, and creatinine. ConclusionCompared with the traditional method of puncture, parallel centripetal puncture can ensure sufficient blood flow in dialysis, confirming to the operating requirements and helping to improve dialysis efficiency. It should be applied extensively for its ideal clinical effects.