Effectiveness of a modified puncture method in hemodialysis patients with difficult internal fistula
10.3760/cma.j.cn115682-20250113-00208
- VernacularTitle:改良式穿刺方法在血液透析疑难内瘘患者中的应用
- Author:
Ling JIANG
1
;
Yanhua ZHU
;
Yan YU
;
Hongyan WEI
Author Information
1. 青岛市市立医院血液净化中心，青岛 266071
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
Arteriovenous Fistula;
Difficult puncture;
Complication
- From:
Chinese Journal of Modern Nursing
2025;31(19):2648-2651
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness of a modified puncture method in hemodialysis patients with difficult internal fistula.Methods:From January 2022 to October 2023, patients with difficult internal fistula undergoing dialysis at the Blood Purification Center of Qingdao Municipal Hospital were selected for the study using the convenience sampling method. According to the hemodialysis time, patients dialyzed on Mondays, Wednesdays, and Fridays were included in the conventional group, and patients dialyzed on Tuesdays, Thursdays, and Saturdays were included in the experimental group, with 56 cases in each group. Internal fistula puncture was performed in the conventional group using the traditional puncture method and in the experimental group using the modified puncture method. The success rate of one-time puncture of internal fistula and the injury rate of internal fistula were compared between the two groups of patients.Results:The success rate of one-time puncture of internal fistula in the experimental group was higher than that in the conventional group, with a statistical difference ( P<0.05). The injury rate of the internal fistula vessel of the experimental group was lower than that of the conventional group, and the difference was statistically significant ( P<0.05) . Conclusions:Modified puncture methods have a positive effect on increasing the success rate of a one-time puncture of the internal fistula and decreasing the rate of internal fistula injuries in patients with difficult internal fistula.
