纽扣眼穿刺法对糖尿病患者动静脉内瘘使用效果的影响

摘要

Objective To compare the button hole puncture and ladder type puncture on diabetic patients arteriovenous internal fistula puncture success rate, complications such as subcutaneous hematoma effect, choose safe and effective method of puncture. Methods 60 patients with internal arteriovenous fistula undergoing maintenance hemodialysis therapy for patients with diabetes, by randomly divided into two groups. Button hole puncture group 30 cases, ladder type puncture group in 30 cases. 12 months later, respectively for the two groups of patients with the success rate of puncture, hematoma, fistula clogging rate and blood flow are compared. Results the button hole puncture group the success rate of puncture blood flow was significantly higher than that of the ladder type puncture group, subcutaneous hematoma, fistula clogging rate was significantly lower than that of ladder type puncture group, the difference between groups was statistically significant (P<0.05 or P<0.01). Conclusion The button hole puncture method in diabetic uremic patient arteriovenous internal fistula puncture is significantly better than the ladder type puncture method, clinical diabetic patients may preferentially select the button hole puncture.%　　目的比较纽扣眼穿刺法和绳梯式穿刺法对糖尿病患者动静脉内瘘穿刺成功率、皮下血肿等并发症的影响，选择安全有效的穿刺方法。方法将60例采用动静脉内瘘接受维持性血液透析治疗的糖尿病患者，通过随机数字法分为两组。纽扣眼穿刺法组30例，绳梯式穿刺法组30例。12个月后，分别对两组患者的穿刺成功率、皮下血肿、内瘘堵塞的发生率及血流量进行对比。结果纽扣眼穿刺法组穿刺成功率血流量明显高于绳梯式穿刺发组，皮下血肿、内瘘堵塞发生率明显低于绳梯式穿刺法组，组间比较差异有统计学意义（P＜0.05或P＜0.01）。结论纽扣眼穿刺法在糖尿病尿毒症患者的动静脉内瘘穿刺中明显优于绳梯式穿刺法，临床糖尿病患者可优先选择纽扣眼穿刺法。