CAJ | 학술논문

目的：探讨股静脉临时导管在初次血液透析患者中使用的临床意义及影响其使用的相关因素。方法：选取皖南医学院第一附属医院血液净化中心2014年2～6月使用股静脉临时导管进行血液透析的新入的CKD5期患者115例。对上述115例患者进行随访。记录透析前血清白蛋白、血红蛋白及血肌酐值，并记录静脉导管置入时间、停用时间及停用原因。依据停用原因分为常规停用组（内瘘启用）及非常规停用组（非内瘘启用）。结果：常规停用组与非常规停用组在男女比例、年龄大小及原发病方面无明显差异（P＞0．05）。常规停用组开始血液透析时的血红蛋白及血清白蛋白值均高于非常规停用组（P＜0．01）；虽然常规停用组开始透析时血肌酐平均值低于非常规停用组，但无统计学意义（P＞0．05）。结论：绝大多数股静脉临时导管可以正常使用到内瘘成熟启用后拔出。患者的营养状况可能对其静脉导管的使用寿命有影响。
목적：탐토고정맥림시도관재초차혈액투석환자중사용적림상의의급영향기사용적상관인소。방법：선취환남의학원제일부속의원혈액정화중심2014년2～6월사용고정맥림시도관진행혈액투석적신입적CKD5기환자115례。대상술115례환자진행수방。기록투석전혈청백단백、혈홍단백급혈기항치，병기록정맥도관치입시간、정용시간급정용원인。의거정용원인분위상규정용조（내루계용）급비상규정용조（비내루계용）。결과：상규정용조여비상규정용조재남녀비례、년령대소급원발병방면무명현차이（P＞0．05）。상규정용조개시혈액투석시적혈홍단백급혈청백단백치균고우비상규정용조（P＜0．01）；수연상규정용조개시투석시혈기항평균치저우비상규정용조，단무통계학의의（P＞0．05）。결론：절대다수고정맥림시도관가이정상사용도내루성숙계용후발출。환자적영양상황가능대기정맥도관적사용수명유영향。
Objective:To investigate the clinical significance of temporary femoral venous access device in patients undergoing initial hemodialysis and re-lated factors necessitating removal of the cannulation.Methods:115 patients with chronic kidney disease(CKD) at stage 5 undergoing initial hemodialysis in our hospital during February and June of 2014 were included,and allocated to planned device removal group(fistula enabling dialysis) and non-planned device removal group(non-fistula enabling dialysis).All patients were followed up and maintained regarding the levels of serum albumin,hemoglobin and serum creatinine before dialysis,the time of venous catheter placement and catheter removal as well as causes for necessary removal of the access device . Results:The two groups were not significant with regard to the ratio of genders,ages and presence of primary disease(P>0.05).However,the planned de-vice removal group had higher levels of hemoglobin and serum albumin upon dialysis(P<0.01),and the serum creatinine level remained no significance between the two groups(P>0.05).Conclusion:Most femoral venous access device can be removed till maturing of permanent fistula ,yet nutritional status of patients may affect the service life of the catheter .