中国医药指南

目的 分析改良扣眼穿刺法干预结合保护性干预在血液透析中的应用效果。方法 2024年1月至2024年8月，江阴市第三人民医院收治的40例需行血液透析的肾衰竭患者，按照随机数字表法随机分为两组：对照组（20例，传统扣眼穿刺+常规干预）和观察组（20例，改良扣眼穿刺+保护性干预），研究旨在评估改良扣眼穿刺法干预结合保护性干预在血液透析中的应用效果。结果 相较于对照组，观察组患者穿刺疼痛程度较弱，内瘘使用寿命较长，压迫止血时间较短（P <0.05）；在透析血流量及KV/T上，观察组水平均较对照组高（P <0.05）；两组穿刺一次性成功率对比，观察组较高（P <0.05）；两组并发症发生率对比，观察组较低（P <0.05）；两组干预满意度对比，观察组较高（P <0.05）。结论 改良扣眼穿刺法干预结合保护性干预在血液透析中的应用效果显著，可有效减轻患者穿刺疼痛程度，延长内瘘使用寿命，缩短压迫止血时间，提高透析血流量及KV/T水平，增加穿刺一次性成功率并降低潜在并发症发生率，进而提高患者对干预措施的满意度。

Objective Combined effects of modified grommet puncture technique interventions and protective interventions in haemodialysis.Methods From January 2024 to August 2024, a total of 40 patients with renal failure requiring haemodialysis were admitted in Jiangyin Third People's Hospital. These patients were randomly allocated to two groups according to a random number table method: a control group(20 cases, conventional grommet puncture + conventional intervention) and an observation group(20 cases, modified grommet puncture +protective intervention). To study the combined effects of modified grommet puncture intervention and protective intervention in haemodialysis.Results Compared to the control group, patients in the observation group had less puncture pain, longer endofistula service life and shorter compression haemostasis time(P<0.05). Dialysis blood flow and KV/T levels in the observation group were higher than in the control group(P<0.05). Comparison of one successful puncture rate between the two groups, the observation group was higher(P<0.05). The observation group had a lower complication rate(P<0.05). In a comparison of intervention satisfaction between the two groups, the observed group was higher(P<0.05). Conclusions The application of modified grommet puncture intervention in combination with protective interventions in haemodialysis has important effects, effectively reducing the degree of puncture pain in patients, extending the service life of endofistulas,reducing the time for compression haemostasis, improving haemodialysis blood flow and KV/T levels, increasing the single successful puncture rate, reducing the incidence of potential complications and increase patient satisfaction with the interventional measures.