中国医药科学2016，Vol.6Issue(16)：183-185,3.
血液透析患者不同血管通路再循环的相关因素分析及对策
Related factors analysis and countermeasure of different vascular access recirculation in hemodialysis patients
蔡晓雯 1宁志芳 1王利平 1蓝欣欣1
作者信息
- 1. 广东省人民医院肾内一区，广东广州510080
- 折叠
摘要
Abstract
Objective To measure the condition of different vascular access recirculation in hemodialysis patients and to analysis their relative factors,then to facilitate the implementation of nursing countermeasures. Methods 118 cases of hemodialysis blood dialysis patients given hemodialysis in our hospital from January 2013 to May 2015 were carried on different vascular access and reverse connection of recirculation monitoring by Transonic HD02 hemodialysis monitors respectively.The related factors that may influence the recycling of hemodialysis patients were analyzed. Results The comparison of measurement of access recirculation was showed no statistically significant difference (P>0.05) when the different vascular access was lined normally. Recirculation rate of AVF was lower than the internal jugular or femoral vein (P < 0.05),they had statistically significant difference.But comparison of the internal jugular vein and femoral vein showed no statistically significant difference (P>0.05).When AVF was normal or reversed,recirculation was higher A-V distance<5cm than A-V distance>5cm,they had statistically significant difference (P<0.05). Conclusion AVF is the best choice when hemodialysis,A-V distance must be 5cm or more,so it can reduce recirculation rate.When AVF can’t be used,the temporary vascular access can be made,such as the internal jugular or femoral vein,but it must avoid reversed lines,reducing the recirculation rate.关键词
再循环/血液透析/血管通路/因素分析Key words
Recirculation/Hemodialysis/Vascular access/Relative factors分类
医药卫生引用本文复制引用
蔡晓雯,宁志芳,王利平,蓝欣欣..血液透析患者不同血管通路再循环的相关因素分析及对策[J].中国医药科学,2016,6(16):183-185,3.
