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目的:比较不同穿刺法对糖尿病肾病透析患者内瘘的影响,探讨较佳的穿刺方法。方法:将80例糖尿病肾病患者按随机方法分为扣眼穿刺组40例和区域穿刺组40例,分别运用扣眼穿刺法和区域穿刺法进行内瘘穿刺,一年后评价两组内瘘并发症发生率。结果:扣眼穿刺组血管瘤形成、血管狭窄、内瘘阻塞发生率均低于区域穿刺组,组间比较差异有统计学意义(P<0.05或<0.01)。结论:糖尿病肾病透析患者采用扣眼穿刺法穿刺内瘘并发症明显低于区域穿刺法,临床上值得推广。
Objective: To compare the different puncture on diabetic nephropathy patients with fistula impact, to explore the better puncture method. Methods: Eighty patients with diabetic nephropathy were randomly divided into 40 cases of buttonhole puncture group and 40 cases of regional puncture group. Fistula needle puncture and regional puncture were used respectively to puncture the fistula. One year later, complications of fistula were evaluated rate. Results: The incidence of hemangiomas, vascular stenosis and fistula occlusion in the buttonhole puncture group was lower than that of the regional puncture group. There was significant difference between the two groups (P <0.05 or <0.01). Conclusions: The complications of puncture fistula in dialysis patients with diabetic nephropathy are significantly lower than those of regional puncture, which is worthy of clinical promotion.