CAJ | 학술논문

目的探讨2种穿刺方法对维持性血液透析患者提前启用动静脉内瘘的影响.方法将接受血液透析的患者42例随机分为实验组和对照组各21例,实验组采用顺穿法,对照组采用逆穿法,比较2组动脉出路一次穿刺成功率、皮下血肿发生率及透析2年内动静脉内瘘并发症的发生率,进行X2检验.结果实验组穿刺成功率显著高于对照组,皮下血肿发生率显著低于对照组;透析2年内瘘并发症发生率实验组显著低于对照组.结论血液透析患者早期启用动静脉内瘘可以选择内瘘肘部头静脉或贵要静脉作为动脉出路向心方向穿刺.
목적 탐토2충천자방법대유지성혈액투석환자제전계용동정맥내루적영향.방법 장접수혈액투석적환자42례수궤분위실험조화대조조각21례,실험조채용순천법,대조조채용역천법,비교2조동맥출로일차천자성공솔、피하혈종발생솔급투석2년내동정맥내루병발증적발생솔,진행X2검험.결과 실험조천자성공솔현저고우대조조,피하혈종발생솔현저저우대조조;투석2년내루병발증발생솔실험조현저저우대조조.결론 혈액투석환자조기계용동정맥내루가이선택내루주부두정맥혹귀요정맥작위동맥출로향심방향천자.
Objective To know the influence of two kinds of puncture methods on early application of atteriovenou internal fistula for patients with hemodialysis. Methods Divided 42 patients with hemodialysis into the experimental group and the control group randomly, there were 21 cases in the each group. Directed puncture was used in the experimental group, while the opposite puncture was used in the control group, com-pared the first successful rate of puncture, incidence rate of ecchymosis and the incidence rate of internal fistu-la- associated complications between the two groups. Results The first successful rate of puncture in the ex-perimental group was higher than in the control group, the incidence rate of ecchymosis and tile incidence rate of internal fistula-associated complications was significant higher in the control gorup than that in the experi-mental group respectively. Conclusions For patients with dialysis, it is suitable to select internal fistula ulnar vein and basilic vein as artery exit for centripetal puncture during the early period of arteriovenous fistula.