Application of multiple needle puncture technique in autonomous arteriosclerosis fistula puncture in maintenance dialysis patients
10.3761/j.issn.0254-1769.2025.18.006
- VernacularTitle:多单穿刺技术在维持性血液透析患者自体动静脉内瘘穿刺中的应用
- Author:
Lin SUN
1
;
Hongyan NIU
1
;
Lulu HU
1
;
Xiuming ZHAO
1
;
Li HUANG
1
Author Information
1. 213000 常州市第一人民医院血液净化中心
- Publication Type:Journal Article
- Keywords:
Maintenance Dialysis;
Autonomous Arteriosclerosis Fistula;
Punctures;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(18):2210-2215
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the application effects of different puncture techniques in the autonomous arteriovenous fistula puncture of patients undergoing hemodialysis,providing a reference for nurses in selecting puncture methods.Methods A total of 135 patients undergoing hemodialysis at a tertiary hospital in Changzhou from September 2023 to September 2024 were selected and randomly divided into 3 groups,including a multiple puncture group,a rope ladder puncture group,and a buttonhole puncture group.Follow-up was conducted every 3 months,and the first puncture success rate,puncture pain,diameter of blood scab at the puncture site,hemostasis time,and complications of arteriovenous fistula(infection,embolism,aneurysm,stenosis,intimal hyperplasia)were compared among the 3 groups.Results A total of 114 patients completed the study,with 40 in the multiple puncture group,42 in the rope ladder puncture group,and 32 in the buttonhole puncture group.The single-puncture success rate was higher in the multiple single-puncture group(99.4％)and the buttonhole puncture group(99.6％)than it in the rope-ladder puncture group(93.3％),with all P＜0.001.The scab diameter in the buttonhole puncture group(2 mm)was larger than that in the multiple single-puncture group(1 mm)and the rope-ladder puncture group(l mm),with all P＜0.001.The incidence of intimal hyperplasia in the buttonhole puncture group(34.3％)was higher than that in the multiple single-puncture group(10.0％)and the rope-ladder puncture group(11.9％),with all P＜0.05.Conclusion Each of the 3 arteriovenous fistula puncture techniques has its advantages and disadvantages.The multiple puncture group technique can improve the first puncture success rate,and it does not significantly increase the complications of arteriovenous fistula compared to the rope ladder and buttonhole techniques,making it suitable for widespread use.
