Use of vascular access among maintenance hemodialysis patients and induced complications
10.11816/cn.ni.2025-241369
- VernacularTitle:维持性血液透析患者血管通路使用情况及其并发症
- Author:
Fan LIU
1
;
Yuan XIANG
1
;
Xiaohui LIU
1
Author Information
1. 川北医学院附属医院消化内科,四川南充 637000
- Publication Type:Journal Article
- Keywords:
Maintenance hemodialysis;
Vascular access;
Complication;
Autogenous arteriovenous fistula;
Manage-ment and maintenance
- From:
Chinese Journal of Nosocomiology
2025;35(10):1549-1552
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the use of vascular access among the maintenance hemodialysis(MHD)pa-tients and observe the impact on complications so as to provide bases for standardized clinical management and ma-intenance of vascular access.METHODS The MHD patients who were treated in hemodialysis center of The Affili-ated Hospital of North Sichuan Medical College from Jan.2015 to Jan.2024 were recruited as the research sub-jects.The types of vascular access and incidence rates of complications caused by the vascular access were retro-spectively analyzed.RESULTS A total of 2 040 MHD patients who were treated with the vascular access were en-rolled in the study,1 795(87.99％)of whom were autogenous arteriovenous fistula(AVF),80(3.92％)were tunnel-cuffed catheter(TCC),and 28(1.37％)were arteriovenous graft(AVG),126(6.18％)were non-cuffed catheter(NCC),and 11(0.54％)were arteriovenous direct puncture.The incidence of complications of the TCC group was 32.50％,higher than 16.88％of the AVF group and 19.84％of the NCC group,and there was signifi-cant difference(x2=12.915,4.209;P＜0.001,0.040);there was no significant difference in the incidence of com-plications between the AVF group(16.88％)and the NCC group(19.84％)(x2=0.730,P=0.393).CONCLUSIONS AVF is the major vascular access for the MHD patients,and the incidence of complications is rel-atively high among the patients treated with TCC.It is necessary for the hospital to attach great importance to the occurrence of catheter-related complications.
