摘要
目的:分析影响动静脉内瘘扣眼穿刺成功率的原因,并实施有效的护理对策。方法:对我院血液净化中心进行扣眼穿刺的维持性血液透析患者57例作为研究对象,观察内瘘扣眼隧道钝针穿刺失败的原因并采取有效措施。结果:57例患者进行7020次穿刺,穿刺失败42次,失败率0.60%。扣眼穿刺失败原因包括血管的选择、穿刺方法、去血痂方法、透析间期体重增长过多、扣眼皮肤痒出现红肿。结论:血管的正确选择、正确的穿刺及去血痂方法、控制干体重能提高扣眼钝针穿刺成功率。
Objective ： To analyze the reasons of success rate of arteriovenous fistula puncture and the to implement effective care strategies. Methods ： A total of 57 patients with maintenance hemodialysis during buttonhole puncture of the arteriovenous fistula was selected as research objectives to observe the failure reasons of buttonhole puncture of the arteriovenous fistula and to adopt effective nursing measures. Results ： Among the 7020 times of puncture in 57 pa-tients ,a total of 42 punctures failed and the failure rate was 0. 6 0 % . The reasons for the failure of the buttonhole puncture included the choice of blood ves-sels ,puncture method, blood scab method, too much weight gain during dialysis interval, buttonhole skin itching and redness. Conclusion： The correct choice of blood vessels, the correct puncture and blood scab method as well as control of the weight can increase the success rate of buttonhole puncture of the arteriovenous fistula.
作者
邓长虹
DENG Chang - hong(Sanshui District People＇ s Hospital of Foshan, Foshan 528100)
出处
《护理实践与研究》
2017年第10期135-136,共2页
Nursing Practice and Research
关键词
血液透析
动静脉内瘘
扣眼穿刺
护理对策
Hmodialysis
Arteriovenous fistula
Buttonhole puncture
Nursing countermeasure
作者简介
邓长虹：女,本科,主管护师
