目的 观察不同穿刺方法在预防自体动静脉内瘘并发症中的临床效果.方法 选取医院血液透析中心收治的血液透析患者60例,随机分为观察组和对照组,每组30例.观察组采用钝针扣眼穿刺法,对照组采用绳梯法穿刺,随访半年,比较2组患者透析治疗情况.结果 观察组每次检测疼痛评分均明显低于对照组(P<0.01);观察组静脉高压发生次数为(6.10±1.41)次,少于对照组的(10.54±3.24)次(P<0.01).观察组血栓形成、假性动脉瘤、血管狭窄、内瘘感染等并发症发生率均低于对照组(P<0.05).结论 钝针扣眼穿刺法临床效果显著,能够积极控制并发症,减少疼痛,临床应用效果明显.“,”Objective To analyze the clinical effect of different puncture methods in the prevention of fistula complications.Methods 60 cases of hemodialysis patients treated hemodialysis hospital were randomly selected and divided into experimental group and the control group,with each group of 30 patients.The observation group was treated with buttonhole puncture and the control group was treated with rope ladder method with six month of follow-up.The two groups of patients with dialysis treatment were observed and compared.Results the experimental group of pain scores were lower than the control group in each venous hypertension (P<0.05);The number of venous hypertension in the observation group was (6.10±1.41) times,which was less than that of the control group (10.54±3.24) times (P<0.01).The incidence of complications on thrombosis,pseudoaneurysm,stenosis and fistula infection in the observation group was lower than that in the control group (P<0.05).Conclusion Dayton pinhole puncture method has remarkable clinical effect,which actively controls the complications,reduces pain and the clinical application effect is significant.