目的：探究首次透析血管通路在终末期肾脏病患者中的应用情况及原因。方法：资料随机选择终末期肾脏病行首次血液透析的血管通路患者200例，将患者分为两组，予以内瘘的45例作研究组，予以深静脉导管的155例作对照组，分析两组临床相关指标和应用原因情况。结果：两组患者并发心力衰竭、急诊透析、年龄和CCI以及血红蛋白、肾小球的滤过率，差异均具有统计学意义（ P﹤0.05）；对照组主要原因是52例（33.55%）患者进行专科随诊，但没有及时进行内瘘血管通路。结论：对于终末期肾脏病行首次血液透析的血管通路患者，患者没有采用内瘘原因比较多，但是这些原因均能够进行合理调节，对血管通路的临床应用具有一定价值。%Objective To explore the first vascular access in hemodialysis patients with end-stage kidney and the reasons for the ap-plication. Method Data were randomly selected from treatment of end-stage renal disease first line of vascular access in hemodialysis pa-tients with 200 cases,the patients were divided into two groups,45 cases of fistula be for research group,to be 155 cases of deep venous catheters for the control group,two groups were analyzed clinically relevant indicators and conditions apply reason. Results The two groups of patients with heart failure,emergency dialysis,age and CCI,as well as hemoglobin,glomerular filtration rate,compare the differences were statistically significant(P﹤0. 05);mainly due to the control group was 52(33. 55%)patients who were followed up specialist,but without timely fistula vascular access. Conclusion For the first line of end-stage renal disease on hemodialysis vascular access in patients with fis-tula patients do not use more reasons,but these reasons are able to make reasonable adjustments for the clinical application of vascular ac-cess with a certain value.
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