CAJ | 학술논문

目的：观察拔针前冰敷局部血管在直接动静脉穿刺透析中的应用效果。方法将80例通过直接动静脉穿刺方式行血透治疗的患者随机分为两组，观察组和对照组各40例，透析结束拔针时分别采用传统拔针法和冰敷拔针法，观察两组患者按压止血时间、皮下淤血、拔针疼痛感。结果观察组按压止血时间、皮下淤血发生率、拔针疼痛感明显低于对照组（P＜0．05）。结论冰敷局部血管后再拔针的方法缩短了按压止血时间、降低了皮下淤血发生率，减轻了拔针疼痛感。
목적：관찰발침전빙부국부혈관재직접동정맥천자투석중적응용효과。방법장80례통과직접동정맥천자방식행혈투치료적환자수궤분위량조，관찰조화대조조각40례，투석결속발침시분별채용전통발침법화빙부발침법，관찰량조환자안압지혈시간、피하어혈、발침동통감。결과관찰조안압지혈시간、피하어혈발생솔、발침동통감명현저우대조조（P＜0．05）。결론빙부국부혈관후재발침적방법축단료안압지혈시간、강저료피하어혈발생솔，감경료발침동통감。
Objective To analyze the effect of icing treatment in directly artery and intravenous puncture of patients undergoing hemodialysis . Methods 80 patients with arteriovenous direct puncture undergoing hemodialysis were randomized into observation group (n=40) and control group (n=40).Patients in observation group were applied by icing before stubbsing the fistula needle , and the fistula needle were stubbsed directly in control group .Pressing the bleeding time , subcutaneous congestion , pain index of two groups were recorded and compared.Results Effective differences among observation group and control groups were statistically significant (P<0.05).Conclusions Icing treatment can significantly shorten pressing the bleeding time and relieve congestion and pain , which is worthy of promotion for its significant efficacy .