优化组合式穿刺法在血液透析患者动静脉内瘘中的应用

摘要

Objective To explore the effect of optimize internal arteriovenous fistula puncture to the pain and time. Methods 60 patients undergoing hemodialysis more than 3 months in our blood purification center were randomly divided into observation group and control group according to different puncture methods, to compare the achievement ratio, time and the pain of patient.Results The observation group has significantly lower pain scores and more achievement ratio than that in control group (P＜0.05), (P＜0.05). Conclusions The optimize composite type puncture method not only elevate achievement ratio, but also shorten the time and relieve the pain of patient.%目的 探讨穿刺方式对动静脉内瘘穿刺疼痛程度及成功率的影响.方法 选择在本院血液净化中心进行维持性血液透析3个月以上、能清醒合作的60例患者,同一患者按隔次交替使用两种穿刺法分对照组和实验组进行观察,记录进针时疼痛、一次穿刺成功率及自穿刺皮肤开始到见回血固定针头前的时间,进行对比研究.结果 发现内瘘穿刺时实验组疼痛分值均明显低于对照组(P<0.05), 成功率也较高(P<0.05).结论 优化组合式穿刺法不仅可以提高一次穿刺成功率,也能有效地减轻患者痛苦和缩短动静脉内瘘穿刺时间.