摘要
目的分析血液透析患者动—静脉内瘘的常见并发症。方法回顾性分析175例血液透析患者的临床资料。其中,76例采用动—静脉内瘘(内瘘组),99例采用其他血液净化通路(非内瘘组)。比较两组相关并发症的发生率,分析内瘘组并发症相关因素。结果随访1年,内瘘组并发症发生率低于非内瘘组(21.05% vs.34.34%)(P<0.05)。内瘘组发生血栓8例(10.53%)、吻合口狭窄7例(9.21%)、血管瘤样扩张5例(6.57%)、动脉窃血综合征3例(3.95%)、感染3例(3.95%)、静脉高压1例(1.32%)。单因素分析提示,高龄和糖尿病与动-静脉内瘘相关并发症密切相关。结论血液透析患者中,动-静脉内瘘患者较其他血液净化通路者的并发症相对少见。血栓形成是动-静脉内瘘患者的多见并发症,需要注意预防和及时处理。
Objective To analyze the common complications in the patients undergoing hemodialysis with arteriovenous fistulas.Methods Clinical data of 175 patients underwent hemodialysis were retrospectively analyzed,of whom arteriovenous fistula was performed in 76 cases（group A）and arteriovenous fistula was not used in 99 cases（group B）.The incidence of complications was compared between two groups.The factors relevant to the complications in group A was analyzed.Results The patients were followed up for one year.The incidence of complications was lower in group A than that in group B（21.05% vs.34.34%）（P〈0.05）.The complications in group A included thrombosis in 8 cases（10.53%）,anastomotic stenosis in 7 cases（9.21%）,aneurysmal dilatation in 5 cases（6.57%）,arterial steal syndrome in 3 cases（3.95%）,infection in 3 cases（3.95%）and venous hypertension in 1 cases（1.32%）.Elder age and diabetes were closely related to the complications in group A.Conclusion The incidence of complications related to hemodialysis is relatively rare in the patients with arteriovenous fistulas compared to those with non-arteriovenous fistulas.Thrombosis is the most common complication in the patients with arteriovenous fistulas and attention should be paid to the prevention and timely treatment.
出处
《江苏医药》
CAS
2016年第10期1118-1120,共3页
Jiangsu Medical Journal
基金
江苏省"六大人才高峰"高层次人才项目(2014-WSN-048)
关键词
血液透析
动—静脉内瘘
Hemodialysis
Arteriovenous fistula
