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目的研究钝针扣眼穿刺法在动静脉内瘘差透析患者的护理应用情况。方法 52例动静脉内瘘差透析患者,随机分为对照组和观察组,每组26例。对照组患者采用常规方法进行穿刺并配合常规护理方法 ,观察组患者采用钝针扣眼穿刺法进行穿刺并配合针对性的护理干预。对比两组患者一次穿刺成功率及穿刺位置渗血率,同时对比两组患者发生相关并发症的几率。结果观察组患者一次穿刺成功率为96.15%、穿刺位置渗血率为3.85%,均优于对照组患者的69.23%、30.77%,差异均具有统计学意义(P<0.05)。观察组患者发生相关并发症的几率为0,低于对照组患者的23.08%,差异具有统计学意义(P<0.05)。结论对于动静脉内瘘差透析患者,采用钝针扣眼穿刺法并配合针对性的护理干预,能够提高一次穿刺成功率,降低穿刺位置渗血率,减少并发症发生率,具有重要的临床意义。
Objective To study the nursing application of the needle-punctured needle-puncturing method in differential dialysis of arteriovenous fistula. Methods Fifty-two patients with poor arterial venous fistula were randomly divided into control group and observation group, with 26 cases in each group. Patients in the control group received conventional puncture and routine nursing. The patients in the observation group were punctured with the needle-punctured needle-puncture and targeted nursing intervention. The success rates of puncture and puncture at the puncture site were compared between the two groups, and the complication rates of the two groups were compared. Results The success rate of primary puncture in observation group was 96.15%, and the bleeding rate in puncture site was 3.85%, both of which were superior to those in control group (69.23%, 30.77%). The differences were statistically significant (P <0.05). The incidence of complications in the observation group was 0, which was lower than that in the control group (23.08%), the difference was statistically significant (P <0.05). Conclusions For patients with poor arterial venous fistulae dialysis, the use of blunt-pinhole eye puncture method combined with targeted nursing intervention can improve the success rate of puncture, reduce the puncture site bleeding rate and reduce the incidence of complications, has important clinical significance.