中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
28期
50-52
,共3页
李鑫宇%单福军%武贵群%齐卡%刘丹颖
李鑫宇%單福軍%武貴群%齊卡%劉丹穎
리흠우%단복군%무귀군%제잡%류단영
中心静脉置管%血液透析%终末期肾衰竭%血管通路
中心靜脈置管%血液透析%終末期腎衰竭%血管通路
중심정맥치관%혈액투석%종말기신쇠갈%혈관통로
Central venous catheter%Hemodialysis%End-stage renal disease%Vascular access
目的 探讨中心静脉置管(CVT)在血液透析中的应用.方法 回顾性分析2 206例CVT患者的临床资料,观察导管穿刺部位、导管留置时间、4周血流通畅率、导管相关性感染发生率等.结果 颈内静脉留置2 033例,股静脉留置173例.颈内静脉导管留置时间为(40.6±32.7)d,股静脉导管留置时间为(22.4± 16.3)d,二者差异有统计学意义(P＜0.05).颈内静脉留置导管4周血流通畅率96.4％(1 959/2 033),明显高于股静脉的83.2％(144/173),差异有统计学意义(P＜0.05).股静脉导管相关性感染发生率为11.0％(19/173),显著高于颈内静脉的3.6％(73/2 033),差异有统计学意义(P＜0.05).结论 应用CVT行血液透析便捷可靠,感染率低,并发症较少,操作技术水平是成功的关键.
目的 探討中心靜脈置管(CVT)在血液透析中的應用.方法 迴顧性分析2 206例CVT患者的臨床資料,觀察導管穿刺部位、導管留置時間、4週血流通暢率、導管相關性感染髮生率等.結果 頸內靜脈留置2 033例,股靜脈留置173例.頸內靜脈導管留置時間為(40.6±32.7)d,股靜脈導管留置時間為(22.4± 16.3)d,二者差異有統計學意義(P＜0.05).頸內靜脈留置導管4週血流通暢率96.4％(1 959/2 033),明顯高于股靜脈的83.2％(144/173),差異有統計學意義(P＜0.05).股靜脈導管相關性感染髮生率為11.0％(19/173),顯著高于頸內靜脈的3.6％(73/2 033),差異有統計學意義(P＜0.05).結論 應用CVT行血液透析便捷可靠,感染率低,併髮癥較少,操作技術水平是成功的關鍵.
목적 탐토중심정맥치관(CVT)재혈액투석중적응용.방법 회고성분석2 206례CVT환자적림상자료,관찰도관천자부위、도관류치시간、4주혈류통창솔、도관상관성감염발생솔등.결과 경내정맥류치2 033례,고정맥류치173례.경내정맥도관류치시간위(40.6±32.7)d,고정맥도관류치시간위(22.4± 16.3)d,이자차이유통계학의의(P＜0.05).경내정맥류치도관4주혈류통창솔96.4％(1 959/2 033),명현고우고정맥적83.2％(144/173),차이유통계학의의(P＜0.05).고정맥도관상관성감염발생솔위11.0％(19/173),현저고우경내정맥적3.6％(73/2 033),차이유통계학의의(P＜0.05).결론 응용CVT행혈액투석편첩가고,감염솔저,병발증교소,조작기술수평시성공적관건.
Objective To explore the application of central venous catheter(CVT) in hemodialysis.Methods The clinical data of 2 206 cases of CVT patients were analyzed retrospectively,and the catheter puncture site,the catheter indwelling time,4 weeks of blood flow rate and the incidence of catheter related infections,and so on were observed.Results Internal jugular vein in 2 033 cases,the femoral vein in 173 cases.Internal jugular vein indwelling catheter time was (40.6 ±32.7) d,the femoral vein catheter indwelling time was (22.4 ± 16.3) d,and the difference was statistically significant (P＜ 0.05).Blood flow patency rate in four weeks was of 96.4％ (1 959/2 033) indwelling catheter in internal jugular vein,which was significantly higher than that of the femoral vein in 83.2％ (144/173),and the difference was statistically significant (P ＜ 0.05).Femoral vein catheter related infection rate was 11.0％ (19/173),significantly higher than that of internal jugular vein in 3.6％ (73/2 033),the difference was statistically significant (P ＜ 0.05).Conclusion Application of CVT for hemodialysis is convenient and reliable,with low infection rate,fewer complications,operation technology level is the key to success.
