Effect of modified rope-ladder puncture and blunt-needle buttonhole puncture in new internal fistula of hemodialysis patients
10.3760/cma.j.cn115682-20211123-05273
- VernacularTitle:改良绳梯式穿刺和钝针扣眼穿刺在血液透析患者新建内瘘中的应用效果
- Author:
Xuxia SHEN
1
;
Feifei WANG
;
Yangling LI
;
Min TIAN
Author Information
1. 长治医学院附属和平医院肾内科血透室，长治 046000
- Keywords:
Dialysis;
Hemodialysis;
Modified rope-ladder puncture;
Blunt-needle buttonhole puncture;
New internal fistula
- From:
Chinese Journal of Modern Nursing
2022;28(30):4242-4246
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of modified rope-ladder puncture and blunt-needle buttonhole puncture in new internal fistula of hemodialysis patients.Methods:From March 2019 and May 2020, a total of 70 patients undergoing maintenance hemodialysis in Heping Hospital Affiliated to Changzhi Medical College were enrolled using convenience sampling method and divided to the observation group (40 cases) and the control group (30 cases) by random number table method. The control group received blunt-needle buttonhole puncture and the observation group conducted modified rope-ladder puncture. The puncture situations, pain, hemostasis time after needle withdrawal, occurrence of puncture complications and internal fistula related complications were compared between the two groups.Results:There was no significant difference in success rate of one-time puncture between the two groups ( P>0.05) . The puncture pain of the observation group was severe than that of the control group ( P<0.05) , average pressing time at puncture sites was longer than that of the control group ( P<0.05) , and incidence of puncture complications was higher than that of the control group ( P<0.05) . Within one year of dialysis treatment, the incidence of internal fistula complications of the observation group was lower than that of the control group ( P<0.05) . Conclusions:The success rate of one-time puncture between modified rope-ladder puncture and blunt-needle buttonhole puncture are similar. The pain caused by blunt-needle buttonhole puncture is milder, hemostasis time is shorter and incidence of puncture complications is lower. However, the modified rope ladder puncture has less influence on the internal fistula function of patients.
