Effect comparison of three-point positioning method and traditional puncture method for patients with arteriovenous fistula in hemodialysis
10.7619/jcmp.201716012
- VernacularTitle:三点定位法和传统穿刺法在血液透析动静脉内瘘中的应用效果比较
- Author:
Haizhen CAO
1
;
Huaidong CHEN
;
Tiantian LI
;
Dandan FENG
;
Juan XIAO
;
Xiangqin CUI
Author Information
1. 山东省泰安市中医二院 肾内科
- Keywords:
three-point positioning method;
hemodialysis;
malignant tumor of urinary system;
arteriovenous fistula;
losartan
- From:
Journal of Clinical Medicine in Practice
2017;21(16):37-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of three-point positioning method and traditional puncture method in patients with arteriovenous fistula in hemodialysis.Methods A total of 800 hemodialysis patients with malignant tumor of urinary system in our hospital were divided into three-point positioning method group (observation group) and traditional puncture method group (control group), with 400 cases in each group.All the puncture was performed by the senior nurses with color Doppler, and vein intima thickness of artery fistula before puncture and 60 times after puncture were observed, puncture failure rate, incidence of venous fistula aneurysm, arteriovenous fistula stenosis and satisfaction were compared.Results There was no significant difference in vein intima thickness of artery fistula(P<0.05);The effect degree of vein intima thickness of artery fistula in the observation group after treatment was significantly lower than that of the control group, and the difference was statistically significant(P<0.05);The puncture failure rate, incidence of arteriovenous fistula aneurysm, and arteriovenous fistula stenosis rate in the observation group after 60 times puncture were significantly lower than that in the control group, and the differences were statistically significant(P<0.05);The satisfaction in the observation group was significantly higher than that in the control group, the difference was statistically significant (P<0.05).Conclusion Three-point positioning puncture combined with losartan has significant effect for arteriovenous fistula patients with the malignant tumor of urinary system, and it can effectively prolong longevity of vascular puncture, and reduce complications of vascular with fistula.
