CAJ | 학술논문

回顾性分析维持性血液透析( MHD)患者的基本资料、首次血液透析( HD)不同血管通路( VA)的选择及动静脉内瘘( AVF)患者并发症发生率情况。对比分析首次HD时使用AVF与临时静脉置管( TCVC)患者的文化教育程度、经济状况及 AVF 使用寿命情况。首次 HD 使用 TCVC 占72．9%,AVF占25．7%。自体AVF是本透析中心MHD患者最主要的 VA (96．2%),但首次 HD采用自体 AVF的比例(25．7%)仍低于指南要求。提前建立AVF与其所受文化教育水平、经济状况呈正相关性,差异有统计学意义(P <0．05),有利于减少患者AVF远期并发症的发生；而与患者的性别、年龄、原发疾病及后期内瘘血流量情况差异无统计学意义。
회고성분석유지성혈액투석( MHD)환자적기본자료、수차혈액투석( HD)불동혈관통로( VA)적선택급동정맥내루( AVF)환자병발증발생솔정황。대비분석수차HD시사용AVF여림시정맥치관( TCVC)환자적문화교육정도、경제상황급 AVF 사용수명정황。수차 HD 사용 TCVC 점72．9%,AVF점25．7%。자체AVF시본투석중심MHD환자최주요적 VA (96．2%),단수차 HD채용자체 AVF적비례(25．7%)잉저우지남요구。제전건립AVF여기소수문화교육수평、경제상황정정상관성,차이유통계학의의(P <0．05),유리우감소환자AVF원기병발증적발생；이여환자적성별、년령、원발질병급후기내루혈류량정황차이무통계학의의。
210 MHD patients were retrospectively analyzed for the basic information in the hemodialysis( HD) cen-ter, including the vascular access( VA) options and the incidence of complications with AVF. The patients were as-signed into two groups, i. e. the AVF and the temporary central venous catheter( TCVC) , and the information of ed-ucation, economic status and AVF life were compared. The most popular VA at the beginning of HD was TCVC (72. 9%), then AVF(25. 7%). AVF was the main VA of MHD patients (96. 2%), but the proportion of the first HD with AVF (25. 7%) was still lower than the proportion of the guide. The patients with preparation of AVF in advance were positively correlated with their cultural education level and economic status, which had fewer long-term complications than others. There was a statistically significant difference (P<0. 05),while no difference asso-ciated with the patients′gender, age, primary disease and fistula blood flow was found.