首页|慢性肾衰竭患者血液透析治疗中AVF与TCC血管通路应用的效果分析

慢性肾衰竭患者血液透析治疗中AVF与TCC血管通路应用的效果分析

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目的 分析慢性肾衰竭患者血液透析治疗中自体动静脉内瘘(Cimino-brescia Arteriovenous Fistula,AVF)和带隧道涤纶套透析导管(Tunneled Cuff Catheter,TCC)血管通路应用的效果.方法 非随机选取2021年3月—2023年7月江苏省高邮市人民医院收治的127例慢性肾衰竭患者作为研究对象,按照治疗方法不同分为AVF组(63例)和TCC组(64例),比较两组的血液透析效果、肾功能水平、并发症发生率.结果 AVF组的血液透析指标高于TCC组,肾功能水平低于TCC组,差异有统计学意义(P均<0.05).AVF组的并发症发生率(3.17%)低于对照组(14.06%),差异有统计学意义(χ2=4.757,P<0.05).结论 在慢性肾衰竭患者接受血液透析治疗期间,采取AVF血管通路能有效改善血液透析的效果和肾功能水平.
Analysis of the Effect of AVF and TCC Vascular Pathway Application in Hemodialysis Treatment of Patients with Chronic Renal Failure
Objective To analyze the effects of cimino-brescia arteriovenous fistula(AVF)and tunneled cuff catheter(TCC)vascular access in hemodialysis treatment of patients with chronic renal failure.Methods A total of 127 pa-tients with chronic renal failure admitted to Gaoyou People's Hospital of Jiangsu Province from March 2021 to July 2023 were non-randomly selected as the study objects.They were divided into AVF group(63 cases)and TCC group(64 cases)by different treatment modalities.The hemodialysis effect,renal function level and complication rate of the two groups were compared.Results The hemodialysis index of AVF group was higher than that of TCC group,and the renal function level was lower than that of TCC group,and the differences were statistically significant(both P<0.05).The complication rate of AVF group(3.17%)was lower than that of control group(14.06%),and the difference was sta-tistically significant(χ2=4.757,P<0.05).Conclusion AVF vascular access can effectively improve hemodialysis and renal function in patients with chronic renal failure during hemodialysis treatment.

Chronic renal failureHemodialysisCimino-brescia arteriovenous fistulaTunneled cuff catheterVascular access

凡雪华、胡月、张鹏程

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江苏省高邮市人民医院肾内科,江苏 高邮 225600

慢性肾衰竭 血液透析 自体动静脉内瘘 带隧道涤纶套透析导管 血管通路

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(13)