Effect of different puncture methods on long-term complications of autogenous arteriovenous fistula inmaintenance hemodialysis patients
不同穿刺方法对维持性血透患者自体动静脉内瘘远期并发症的影响

摘要

目的 分析不同穿刺方法对维持性血透患者自体动静脉内瘘远期并发症的影响。方法 选择我 院于 2022.03-2022.11 月，期间收治的 138 例维持性血透患者，将所有患者动静脉内瘘穿刺方法分组为对照 组（69 例，采用常规穿刺）和观察组（69 例，实施绳梯式穿刺）。结果 观察组内瘘穿刺止血时间、远期 并发症发生率均明显低于对照组，差异均有统计学意义（P＜0.05）。结论 在对维持性血透患者实施动静脉 内瘘穿刺时，通过绳梯式穿刺可取得明显更佳的效果，可明显缩短内瘘穿刺止血时间，显著减少远期并发 症发生，有较高应用价值。

Abstract

Objective To analyze the influence of different puncture methods on the long-term complications of autologous arteriovenous fistula in maintenance hemodialysis patients.
Methods 158 cases of maintenance hemodialysis patients admitted in our hospital From March 2022 to November 2022were selected. All patients were divided into control group （79 cases, conventional puncture） and observation group （79 cases, ladder puncture）.
Results The long-term complication rate and pain degree in the observation group were significantly lower than those in the control group （ P<0.05 ） .
Conclusion   In the implementation of arteriovenous fistula puncture for maintenance hemodialysis patients, rope ladder puncture can achieve significantly better results, significantly reduce patients' puncture pain, significantly reduce long-term complications, and has high application value.