自体动静脉内瘘在血液透析中的应用与护理

目的：探讨研究自体动静脉内瘘在血液透析中的应用与护理。方法：选取2008年8月-2010年8月本院30例血液透析患者，采用前臂桡动脉和头静脉制作内瘘，以建立用于血液透析的血管通道，观察其应用情况。结果：30例患者自体动静脉内瘘的使用寿命为1~5年，平均使用寿命为（3.4±0.4）年；患者中有5例发生感染，3例并发内瘘血栓，2例形成动脉瘤，1例血量供应不足。结论：加强自体动静脉内瘘的护理，延长内瘘的使用寿命，这对提高患者的血液透析质量和生活质量具有重要的意义。

Application and Nursing of Autologous Arteriovenous Fistula in Hemodialysis

Objective：To study the application and nursing of autologous arteriovenous fistula in hemodialysis. Method：Thirty cases of hemodialysis in the hospital from August 2008 to August 2010 were taken the forearm radial artery and cephalic vein internal fistula,to establish a vascular access for hemodialysis,then to observe the application. Result：The service life of 30 patients with autologous arteriovenous fistula were 1-5 years,and the average were（3.4 ±0.4）years. There were 5 cases with infection,3 cases with fistula thrombosis,2 cases with aneurysm and 1 cases with insufficient blood supply. Conclusion：It is an important method to improve the quality of patients hemodialysis and life by strengthen the nursing of arteriovenous fistula,and prolong the service life of internal fistula.