Your browser doesn't support javascript.
loading
The application of blunt needle buttonhole puncture of arteriovenous fistula in maintenance hemodialysis patients / 中国实用护理杂志
Chinese Journal of Practical Nursing ; (36): 2147-2150, 2021.
Article in Chinese | WPRIM | ID: wpr-908218
ABSTRACT

Objective:

To explore the application of blunt needle buttonhole puncture for arteriovenous fistula in maintenance hemodialysis patients and its effect on complications.

Methods:

Thirty patients with maintenance hemodialysis using blunt needle buttonhole puncture for arteriovenous fistula in the hemodialysis center of Dalian Central Hospital from September 1, 2017 to September 1,2018 were included as blunt needle group. Thirty patients with common sharp needle rope ladder puncture were matched 1∶1 according to age, gender, primary disease and dialysis age as sharp needle group. They were followed up until August 31, 2019. The incidence of pain, compression hemostasis time, infection and internal fistula occlusion after puncture were compared between the two groups, and the methods and techniques of blunt needle puncture were summarized.

Results:

In blunt needle group, the puncture pain score was 0 in 3 cases, 1-3 in 25 cases, 4-6 in 2 cases and 7-10 in 0 case. In sharp needle group, the puncture pain score was 0 in 0 case, 1-3 in 10 cases, 4-6 in 20 cases and 7-10 in 0 case. The puncture pain in blunt needle group was significantly lower than that in sharp needle group. The difference between the two groups was statistically significant ( χ2 value was 24.156, P<0.01). The compression hemostasis time was less than 10 min in blunt needle group and more than 10 min in sharp needle group. There were 0 case of internal fistula hemangioma in blunt needle group and 21 cases in sharp needle group. The incidence of internal fistula hemangioma in blunt needle group was significantly lower than that in sharp needle group. There were 2 cases of redness at the puncture needle eye in blunt needle group and 1 case in sharp needle group. During the follow-up period, no other serious complications such as internal fistula occlusion occurred in both groups.

Conclusions:

Blunt needle buttonhole puncture can effectively reduce the incidence of puncture complications, reduce the degree of puncture pain in patients, shorten the compression time from the machine, the treatment is safe, worthy of clinical promotion.

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Practical Nursing Year: 2021 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Practical Nursing Year: 2021 Type: Article