[1]张祖萍,王小萍,靳方.长期血透患者高位动静脉内瘘护理体会[J].西部中医药,2013,26(03):117-118.
　ZHANG Zuping,WANG Xiaoping,JIN Fang.Nursing Experience of High Internal Arteriovenous Fistula for Patients with Chronic Hemodialysis[J].Western Journal of Traditional Chinese Medicine,2013,26(03):117-118.
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长期血透患者高位动静脉内瘘护理体会
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年03期
页码:
117-118
栏目:
出版日期:
2013-03-15

文章信息/Info

Title:
Nursing Experience of High Internal Arteriovenous Fistula for Patients with Chronic Hemodialysis
文章编号:
1004-6852(2013)03-0117-02
作者:
张祖萍，王小萍，靳方
甘肃省中医院，甘肃 兰州 730050
Author(s):
ZHANG Zuping, WANG Xiaoping, JIN Fang
Gansu Province Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
高位内瘘; 血液透析; 护理
Keywords:
high internal fistula;  hemodialysis;  nursing
分类号:
R473
文献标志码:
B
摘要:
目的：探讨高位内瘘在长期血透患者中的应用及护理要点。方法：对 2006 年 1 月至 2012 年 8月收治的 36 例行高位内瘘术的长期血透患者的护理方法进行总结。结果：36 例高位内瘘在使用中血流充足，应用良好。结论：高位内瘘血管条件特殊，穿刺要求技术高，正确掌握高位动静脉瘘新瘘使用时间，掌握正确的穿刺方法，教会患者自我护理，可以预防内瘘阻塞，确保透析正常进行。
Abstract:
Objective: To explore the application and the main points of nursing to high internal fistula in patients with chronic hemodialysis. Method: Nursing methods of internal fistula for thirty-six patients admitted from January, 2006 to August, 2012 were summed up. Result: 36 cases of high internal fistula showed enough blood flow and were applied well. Conclusion: Due to special vascular condition of high internal fistula, higher skill of puncture is required; utilization time of high internal arteriovenous fistula should be grasped correctly as well as right puncture method, which could teach the patients self-nursing, prevent the obstruction of internal fistula and ensure normal conduction of hemodialysis.

参考文献/References:

［1］ 刘燕，延长动静脉内瘘使用寿命的护理体会［J］.湖南医学，2008，19(9)：78-79. ［2］ 郑辉瑜，詹丹虹，林丽君.动静脉内瘘的使用技巧及护理［J］.现代医院，2010，10(12)：83-84. ［3］ 杨荆远，马春玲，朱高峰，等.循证护理在血液透析患者高位动静脉内瘘中的应用［J］.中国血液净化，2011，10(4)：219-220. ［4］ 洪蝶玟，谢叶丽，黄晓丹，等.改良穿刺法延长血液透析患者动静脉内瘘使用寿命的观察［J］.中国基层医药，2006：13(12)：1974-1975. ［5］ 曹红梅.高位动静脉瘘穿刺失败 13 例原因分析及对策［J］.齐鲁护理杂志，2010：16(12)：76-78. ［6］ 田李清，王艳茹，张国英.巧用马铃薯保护动静脉内瘘［J］.中国实用护理杂志，2006：22(2)：17. ［7］ 叶朝阳，戴兵.更新版血液透析血管通路临床实践指南解读［J］.中国血液净化,2009，8(6)：331-334. ［8］ 卢燕文.最新血液净化中心护理操作技术规范与质量安全控制标准及考核评分实用手册［M］.北京：人民卫生科技出版社，2008：227-228.

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备注/Memo

备注/Memo:
收稿日期：2012-11-27 作者简介：张祖萍(1967—)，女，主管护师。研究方向：血液透析的护理。
更新日期/Last Update: 2013-03-15