CAJ | 학술논문

目的掌握导致诱导期透析患者动静脉瘘血栓形成的危险因素及相关影响因素。预防动静脉瘘狭窄及血栓形成的发生，为临床护理提供依据。方法根据患者危险因素，详细制定护理计划、措施。做好透析间期健康教育，透析前充分准备，透析中医护配合，透析后密切观察，减少动静脉瘘狭窄及血栓形成。结果干预组81例患者7例发生内瘘血栓形成，未干预组62例患者14例发生内瘘血栓形成。结论评估透析患者的血栓形成的危险因素，并进行积极干预护理，可使维持性血液透析患者动静脉瘘狭窄及血栓形成的发生率明显降低。
목적장악도치유도기투석환자동정맥루혈전형성적위험인소급상관영향인소。예방동정맥루협착급혈전형성적발생，위림상호리제공의거。방법근거환자위험인소，상세제정호리계화、조시。주호투석간기건강교육，투석전충분준비，투석중의호배합，투석후밀절관찰，감소동정맥루협착급혈전형성。결과간예조81례환자7례발생내루혈전형성，미간예조62례환자14례발생내루혈전형성。결론평고투석환자적혈전형성적위험인소，병진행적겁간예호리，가사유지성혈액투석환자동정맥루협착급혈전형성적발생솔명현강저。
Objective: To discuss the risk factors of arteriovenous fistula thrombosis for hemodialysis patients in induction period and provide a basis for clinical nursing. Methods: The detailed plan of care was made according to their number of risk factors. In order to decrease the incidence of arteriovenous fistula thrombosis and stricture, good preparations were made before dialysis and close observation was done after dialysis. Results: In the intervention group (81 cases),7 cases were diagnosed as arteriovenous fistula thrombosis, and in the controls (62 cases),14 cases were presented with arteriovenous fistula thrombosis. Conclusion: Assess and intervene risk factors could significant decrease the incidence of arteriovenous fistula thrombosis and stricture in maintenance hemodialysis patients.