【摘要】 目的探究血液透析患者发生动静脉内瘘堵塞的原因和早期预防及心理护理措施。方法回顾性分析本院2018年1月～2019年12月接受动静脉内瘘血液透析的320例患者的临床资料,分析动静脉内瘘堵塞的发生原因并予以早期护理干预。结果 320例血透患者中动静脉内瘘堵塞发生率7.81%(25例),发生堵塞的原因:穿刺不合理6例、穿刺位置细菌感染2例、止血压迫时间过长3例、睡觉时造成患侧压迫2例、患者自身血管因素8例、超滤过度至低血压后内瘘堵塞4例。结论针对血液透析患者动静脉内瘘堵塞的发生是由多个方面因素导致的,早期开展科学、有效的预防护理干预和及时的心理疏导,可消除患者负性情绪,降低动静脉内瘘堵塞的发生风险,延长其使用寿命。更多还原

【Abstract】 Objective To explore the causes of arteriovenous fistula blockage in hemodialysis patients and early prevention and psychological nursing measures.Methods A retrospective analysis of the clinical data of 320 patients receiving arteriovenous fistula hemodialysis in our hospital from January 2018 to December 2019,analysis of the causes of arteriovenous fistula blockage and early nursing intervention.Results The incidence of arteriovenous fistula blockage in 320 hemodialysis patients was 7.81% (25 cases).The reasons for blockage were:6 cases of unreasonable puncture,2 cases of bacterial infection at the puncture site,3 cases of excessively long time to stop blood pressure,and while sleeping Compression of the affected side occurred in 2 cases,the patient’s own vascular factors in 8 cases,and 4 cases of fistula blockage after hyperfiltration to hypotension.Conclusion In view of the occurrence of arteriovenous fistula blockage in hemodialysis patients,it is caused by many factors.Early scientific and effective preventive nursing intervention and timely psychological counseling can eliminate patients’ negative emotions and reduce arteriovenous fistula blockage.Risks occur and extend its service life.更多还原