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目的探讨分析维持性血液透析患者动静脉内瘘闭塞的原因,采取相应的护理措施,以预防或减少血液透析患者内瘘闭塞的发生。方法对2016年1~12月收治的201例采用动静脉内瘘行血液透析治疗患者的临床资料进行分析,分析内瘘闭塞的原因,总结出预防内瘘闭塞的护理方法及透析间期患者的自我维护措施。结果 201例维持性血液透析患者中20例发生内瘘闭塞,发生率为11.4%,其中患者透析间期维护不当14例,占70.0%,护士穿刺不当2例,占10.0%,自身血管条件差4例,占20.0%。结论动、静脉内瘘闭塞与患者的自我维护、内瘘的合理使用有密切关系。
Objective To investigate the causes of arteriovenous fistula occlusion in maintenance hemodialysis patients and to take corresponding nursing measures to prevent or reduce the occlusion of fistula in hemodialysis patients. Methods The clinical data of 201 patients treated with hemodialysis of arteriovenous fistula admitted from January to December in 2016 were analyzed to analyze the causes of occlusive fistula and the nursing methods to prevent the occlusion of fistula and the patients in dialysis interval Self-maintenance measures. Results Fistula occlusion occurred in 20 of 201 patients with maintenance hemodialysis, with an incidence rate of 11.4%. Among them, 14 patients (70.0%) were improperly maintained during dialysis, 2 patients (10.0%) were poorly punctured by nurses, and their vascular condition was poor 4 cases, accounting for 20.0%. Conclusions The occlusion of arteriovenous fistula is closely related to the self-maintenance of patients and rational use of fistula.