[Investigation of status for vascular access in hemodialysis patients at Xiangya Hospital of Central South University].
[Investigation of status for vascular access in hemodialysis patients at Xiangya Hospital of Central South University].
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DOI：
10.11817/j.issn.1672-7347.2017.11.005
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发表时间：
2017-11-28
期刊：
影响因子：
--
通讯作者：
Xiao, Ping
中科院分区：
文献类型：
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作者：
Zhong, Yong;Pu, Jiaxi;Xiao, Ping
目的：了解我中心血液透析患者血管通路的使用情况
。回顾性分析2015年4月至2016年4月中南大学湘雅医院血液透析患者的一般情况、血管通路类型及并发症。
结果：258例患者中，87.60%的患者存在动静脉内瘘，12.40%的患者存在隧道式套囊导管。在61例事件患者中，80.33%的患者使用非隧道和非套囊导管开始透析，8.19%使用AVF，9.84%使用隧道套囊导管，1.64%使用针刺。AVF入路类型：腕桡头瘘占76.55%，前臂中段头瘘占7.08%，肘头臂瘘占11.06%，肘前瘘和贵要体转位瘘占5.31%。AVF并发症77例（34.07%），其中动脉瘤占24.34%。结论：自体AVF是维持性血液透析患者最常用的血管通路。
在透析初学者中，非隧道和非套囊导管是他们的选择。在开始血液透析期间，可能需要额外的努力和激励措施来改善血管通路。
OBJECTIVE: To investigate the status of vascular access in hemodialysis patients in our center.
Methods: The general information of hemodialysis patients and types and complications of vascular access at Xiangya Hospital of Central South University from April 2015 to April 2016, were retrospectively analyzed.
Results: Among 258 prevalent patients, 87.60% of them had arteriovenous fistula (AVF), while 12.40% showed tunneled cuffed catheter. Of the 61 incident patients, 80.33% of them initiated dialysis with a non-tunneled and non-cuffed catheter, 8.19% with an AVF, 9.84% with a tunneled cuffed catheter, and 1.64% with needle puncture. The types of AVF access included 76.55% of wrist radiocephalic fistula, 7.08% of mid-forearm cephalic fistula, 11.06% of elbow brachiocephalic fistula, and 5.31% of antecubital fistula and transposed basilic fistula. Seventy-seven (34.07%) patients with AVF suffered complications and wherein aneurysms accounted for 24.34%.
Conclusion: In maintenance hemodialysis patients, autologous AVF is the prevalent vascular access. In the beginners for dialysis, non-tunneled and non-cuffed catheter are their choice. Additional efforts and incentives may be necessary to improve vascular access during the initiation of hemodialysis.