CAJ | 학술논문

目的：观察改进血管通路连接法在动静脉内瘘静脉穿刺失败中的应用效果。方法将2011年6月至2012年9月期间采用传统法处理动静脉内瘘静脉穿刺失败的125例设为传统组；2012年10月至2013年10月期间采用改进血管通路连接方法处理动静脉内瘘静脉穿刺失败的130例患者设为观察组。比较传统组和观察组的穿刺成功率和重新穿刺率。结果传统组穿刺成功率为92．8％，重新穿刺率为100．0％；观察组穿刺成功率为99．2％，重新穿刺率为7．7％。2组穿刺成功率差异无统计学意义（P＞0．05），重新穿刺率差异有统计学意义（P＜0．05）。结论改进血管通路连接法是处理动静脉内瘘静脉穿刺失败的有效措施，可以避免重新穿刺，减轻患者重复穿刺的痛苦，对内瘘血管有保护作用。
목적：관찰개진혈관통로련접법재동정맥내루정맥천자실패중적응용효과。방법장2011년6월지2012년9월기간채용전통법처리동정맥내루정맥천자실패적125례설위전통조；2012년10월지2013년10월기간채용개진혈관통로련접방법처리동정맥내루정맥천자실패적130례환자설위관찰조。비교전통조화관찰조적천자성공솔화중신천자솔。결과전통조천자성공솔위92．8％，중신천자솔위100．0％；관찰조천자성공솔위99．2％，중신천자솔위7．7％。2조천자성공솔차이무통계학의의（P＞0．05），중신천자솔차이유통계학의의（P＜0．05）。결론개진혈관통로련접법시처리동정맥내루정맥천자실패적유효조시，가이피면중신천자，감경환자중복천자적통고，대내루혈관유보호작용。
Objective To observed the application effect of improved vascular access connection in the treat‐ment of arteriovenous fistula puncture failure .Methods 125 cases of arteriovenous fistula puncture failure treated by traditional method from June 2011 to October 2012 were enrolled in tradition group ,and 130 cases of arteriovenous fistula puncture failure treated by improved vascular access connection from October 2012 to October 2013 were en‐rolled in observe observation group .The vascular puncture success rates and repuncture rates of two groups were compared .Results The vascular puncture success rate and repuncture rate of tradition group were 92 .8% and 100 .0% respectively ,and those of observation group were 99 .2% and 7 .7% respectively .There was no significant difference of vascular puncture success rates between two groups (P> 0 .05) ,while the repuncture rates of two groups were significantly different (P<0 .05) .Conclusion Improved vascular access connection is an effective meas‐ure for the treatment of arteriovenous fistula puncture failure ,which can avoid repuncture ,alleviate the suffering of repeated puncture ,and be good for the protection of arteriovenous fistula .