摘要
目的:探讨带涤纶环深静脉留置双腔导管(亦称永久性双腔留置导管)在维持性血液透析患者中的应用及护理。方法:选择16例留置永久性双腔导管患者和同期25例留置临时性双腔导管患者,分别观察其血流量、导管留置时间及并发症。结果:永久性双腔导管组血流量为(221.25±19.28)ml/min;导管留置时间(4.44±2.76)月。临时性双腔导管组血流量为(180.00±14.43)ml/min;导管留置时间(0.96±0.45)月。两组血流量和导管留置时间差异均有统计学意义(P<0.001)。两组并发症的总发生率分别为25%和68%,以永久性双腔导管组显著为低(P<0.01)。结论:永久性双腔留置导管血流量大,可长期保留,并发症较少,可满足透析要求,适合于多种原因导致动静脉内瘘建立困难的患者。配合以正确的使用方法及细致的护理,严格无菌操作,可减少导管并发症,延长导管的使用寿命,提高患者的生活质量。
Objective：To study the application of permcath dual lumen catheter for maintenance hemodialysis and nursing. Methods： Sixteen patients with permcath dual lumen catheter and 25 patients with non-cuffed dual lumen catheter were selected. The blood flow, the catheter detaining time and the complication were observed. Results： The blood flow of permcath dual lumen catheter was （ 221.5 ± 19.28 ）mL/min and the retaining time of dual lumen catheter was （4.44 ± 2.76 ） months. The blood flow of non-cuffed catheter was （180.00 ± 14.43 ）mL/min and the retaining time of non-cuffed catheter was （0.96 ± 0.45 ） months. The difference was significant between the two groups （ P 〈 0.001 ）. The incidences of complication were 25% and 68% in the two group, respectively. The difference was significant （ P 〈 0.01 ）. Conclusions：The permcath dual lumen catheter is preferable in volume of blood flow and retaining time, and causes less complication when compared with the non-cuffed dual lumen catheter. It catheters for the patients who has difficulty in having an AtV fistula established. Cautious nursing and sterile operation can decrease the complication, prolong the service time of the catheters and improve the life quality of the patients.
出处
《蚌埠医学院学报》
CAS
2007年第4期485-487,共3页
Journal of Bengbu Medical College
关键词
血液透析
导管
留置
并发症
护理
hemodialysis
catheters, indwelling
complication
nursing
