多功能内瘘固定架在血液透析患者中的临床应用

摘要

Objective To explore the effect of arteriovenous fistula multifunctional fixation for hemodialysis patients in the clinical application and observation. Methods In this study, a total 60 cases of hemodialysis patients with arteriovenous fistula were included, and they were randomly assigned into two group which are test group(30 cases)and control group (30 cases) respectively. At the beginning of hemodialysis, applying the arteriovenous fistula multifunctional fixation method and traditional treatment towel covering method respectively. During the 12 months of treatment period, the incidence of fistula complications were compared between the two groups of hemodialysis patients. Result The incidence of fistula complications of the test group was significantly lower than those of the control group, and the rates of hematoma, needle prolapse, bleeding and other complications were statistically significant (χ2 hematoma/bleeding needle/ prolapse =87.305, 140.466, 15.153, P=0.000). The satisfacation of two groups have statistically significant (χ2=5.45, P<0.05). Conclusion For the arteriovenous fistula, the multifunctional fixation method has a good protective effect, thus can reduce the occurrence of fistula complications .significantly. Finally it can improve patient satisfaction and reduce the workload of nurses.%目的 探讨多功能动静脉内瘘肢体固定架在血液透析患者中的临床应用. 方法 将60例使用动静脉内瘘透析的患者随机分为实验组30例和对照组30例,分别应用动静脉内瘘固定架和传统治疗巾覆盖胶布固定方法,均在透析开始时应用,观察透析的患者在12个月治疗期间,比较2组透析患者内瘘并发症的发生率. 结果 实验组内瘘并发症的发生率明显低于对照组,血肿、渗血、穿刺针脱出等并发症发生率均有统计学意义(x2血肿/渗血/穿刺针脱出=87.305,140.466,15.153,P =0.000);2组患者满意度的比较有统计学意义(x2=5.45,P＜0.05)；结论 多功能动静脉内瘘固定架对内瘘有良好的保护作用,明显降低了内瘘并发症的发生,提高了病人的舒适度,减少了护士的工作量.