| 缪鹏亮,陈敏,陈斌,王谊菁,杨春芬,晋圣如,闵秀兰,戎琳.不同时间更换钝针扣眼对内瘘穿刺并发症的效果研究[J].上海护理,2025,25(2): |
| 不同时间更换钝针扣眼对内瘘穿刺并发症的效果研究 |
| Effect of changing blunt needle buttonhole at different time on puncture complications of arteriovenous fistula in hemodialysis patientsMiao Pengliang Chen Min Chen Bin Wang Yijing Yang Chunfen ?? Jin Shengru Min Xiulan Rong Lin |
| 投稿时间:2024-05-14 修订日期:2025-02-05 |
| DOI: |
| 中文关键词: 不同时间更换钝针扣眼 内瘘穿刺 并发症 |
| 英文关键词:Replace the blunt pin button at different time? Endofistula puncture? Complication |
| 基金项目:上海市黄浦区科学技术委员会和黄浦区卫生健康委员会项目(HLM202127) |
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| 中文摘要: |
| 目的:研究不同时间更换钝针扣眼对内瘘穿刺并发症的观察,寻找最佳更换扣眼时间。方法:选取2022年1月-2023年12月我院120例维持性血液透析患者为研究对象。观察1组每6个月、观察2组每12个月更换一次钝针扣眼、对照3组常规不更换钝针扣眼。三组患者每6个月评估一次,24个月内累计观察完成。结果:三组患者内瘘血管壁增生随穿刺时间增加而明显,其中动脉扣眼增生x2值=31.285、静脉扣眼增生x2值=39.082、内瘘功能测定中血流量x2值=37.078、动脉压力x2值=34.691、静脉压力x2值=59.436,三组患者的局部感染及血管通路感染随穿刺时间延长而增加,三组及两两组比较差异均有统计学意义(P≤0.05)。结论:定期更换扣眼穿刺可减少内瘘血管壁增生及失功,降低扣眼穿刺处感染等并发症,最佳更换扣眼穿刺点时间建议在6个月。 |
| 英文摘要: |
| Objective: To study the complications of puncture of arteriovenous fistula by changing blunt needle buttonhole at different time. Method:Find the time to change buttonhole From January 2022 to December 2023, 120 patients with maintenance hemodialysis were selected as the research objects Observation Group 1 (40 cases) changed blunt needle buttonholes every 6 months Observation Group 2 (40 cases) changed blunt needle buttonholes every 12 months Control Group 3 (40 cases) did not change blunt needle buttonholes routinely Three groups of patients were evaluated every 6 months, and the changes of internal fistula |
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