Effect of no tourniquet on bleeding of arteriovenous fistula in hemodialysis patients
不用止血带对血透患者动静脉内瘘出血的影响

摘要

目的 研究不用止血带对血透患者动静脉内瘘出血的影响。方法 将研究时间选定在2020.12-2021.12月，研究对象为这一期间我院收治的100例血液透析患者，让全体患者接受持续四次的动静脉内瘘穿刺，查看穿刺1分钟、5分钟、10分钟的穿刺部位出血现象，第二次和第四次穿刺不使用止血带，将该组为研究组，第一次和第三次使用止血带，此组为常规组，完成自身对照。结果 穿刺后的1分钟、5分钟出血情况研究组明显少于常规组，而穿刺后10分钟两组对比无显著差异；压迫时间和渗血患者数量两组比较，P＜0.05，一次性穿刺成功率比较，P＞0.05。结论 血液透析患者动静脉内瘘穿刺时不使用止血带，会降低渗血率，且不会降低一次性穿刺成功率，值得推广。

Abstract

Objective: To study the effect of no tourniquet on arteriovenous fistula bleeding in hemodialysis patients.
Methods: the study time was selected from December 2020 to December 2021. The subjects were 100 hemodialysis patients treated in our hospital during this period. All patients underwent four consecutive arteriovenous fistula puncture to check the bleeding at the puncture site for 1 minute, 5 minutes and 10 minutes. The tourniquet was not used for the second and fourth puncture. The group was the study group. The tourniquet was used for the first and third time. This group was the conventional group, Complete self comparison.
Results: the bleeding at 1 and 5 minutes after puncture in the study group was significantly less than that in the routine group, while there was no significant difference between the two groups at 10 minutes after puncture; The compression time and the number of bleeding patients were compared between the two groups, P < 0.05, and the success rate of one-time puncture was compared, P > 0.05.
Conclusion  : the use of tourniquet in the puncture of arteriovenous fistula in hemodialysis patients will reduce the bleeding rate and will not reduce the success rate of one-time puncture, which is worthy of popularization.