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目的:探讨将颈内深静脉导管固定器装置和血液透析管路固定器装置联合运用在血液透析过程中,能否提高患者透析安全性。方法:选取本中心放置颈内深静脉双腔导管的患者80例分为常规固定组和联合装置固定组,观察两组颈内静脉导管不良事件发生率和血液透析管路固定不良事件发生率以及患者透析间期包扎效果和患者的活动度、舒适度。结果:联合装置固定组导致的不良事件发生率明显下降(P<0.01、P<0.05);联合装置固定组颈内静脉导管置管患者的透析间期包扎效果和患者的活动度、舒适度均明显提高(P<0.01)。结论:颈内静脉双腔导管的维护及血液透析管路在透析过程中的妥善固定尤为重要。联合应用能杜绝护理不良事件的发生,提高患者的活动度、舒适度和敷料的完整性,防止交叉感染,从而提高患者的生活质量,回归社会,有着很好的临床推广前景。
OBJECTIVE: To explore whether the combination of deep venous catheterization device and hemodialysis catheter device can improve the dialysis safety during hemodialysis. Methods: Eighty patients with double-lumen catheter in the deep venous internal carotid artery in our center were divided into routine fixation group and combined device fixation group. The incidence of adverse events of jugular vein catheterization and the incidence of adverse events of hemodialysis line fixation were observed. Patient dialysis interval dressing effect and patient activity, comfort. Results: The incidence of adverse events was significantly decreased in the fixed group (P <0.01, P <0.05). The effect of interphase dressing and the degree of activity and comfort of patients in the fixed group of jugular vein catheterization Significantly increased (P <0.01). Conclusion: The maintenance of dual-lumen catheter in jugular vein and the proper fixation of hemodialysis tubing during dialysis are particularly important. Combined application can eliminate the occurrence of nursing adverse events, improve patient activity, comfort and dressing integrity, to prevent cross-infection, thereby improving the quality of life of patients, return to society, has a good clinical promotion prospects.