Effects of modified concentric puncture on arteriovenous fistula puncture in hemodialysis patients
改良向心性穿刺对血液透析患者动静脉内瘘穿刺的影响

摘要

目的 研究分析改良向心性穿刺对血液透析患者动静脉内瘘穿刺的影响。方法 选取2019年1月~2020年12月期间在我院进行血液透析治疗的患者92例，将其分为两组，对照组采用距瘘口近侧头静脉为动脉出路离心方向穿刺，观察组患者应用改良向心性穿刺，对比分析两组患者一次性穿刺成功率以及相关并发症发生情况。结果 观察组患者一次性穿刺成功率显著高于对照组，观察组患者相关并发症发生率显著低于对照组，观察组患者VAS评分均显著低于对照组，差异具有统计学意义（P＜0.05）。结论 对血液透析治疗患者应用改良向心性穿刺有助于提高一次性穿刺成功率，同时也有助于减少内瘘狭窄、阻塞等相关并发症的发生率。

Abstract

Objective To study and analyze the effect of modified concentric puncture on arteriovenous fistula puncture in patients with hemodialysis.
Methods: A total of 92 patients who underwent hemodialysis treatment in our hospital from January 2019 to December 2020 were selected and divided into two groups. The control group was punctured in the centrifugal direction of the arterial outlet by the cephalic vein proximal to the fistula. Modified concentric puncture was used in the group of patients, and the one-time puncture success rate and the occurrence of related complications were compared and analyzed in the two groups.
Results: The success rate of one-time puncture in the observation group was significantly higher than that in the control group, the incidence of related complications in the observation group was significantly lower than that in the control group, and the VAS scores in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P＜ 0.05).
Conclusion  : The application of modified concentric puncture in hemodialysis patients can help to improve the success rate of one-time puncture, and also help to reduce the incidence of internal fistula stenosis, obstruction and other related complications.