Abstract
Objective To analyze the application value and relevance of risk evaluation system for arteriovenous fistula (AVF) puncture in thrombosis after puncture. Methods The clinical data of 180 patients treated with hemodialysis in the hemodialysis center of our hospital from November 2017 to November 2019 were retrospectively analyzed. After puncture, all patients received the digital subtraction angiography (DSA) examination, and based on whether they had AVF thrombosis, they were divided into the nonthrombosis group (n = 102) and thrombosis group (n = 78), and then, according to the parity of their admission numbers, the patients in the thrombosis group were subdivided into the study group (n = 39) and the reference group (n = 39), so as to analyze the risk factors of thrombosis after AVF puncture and the application value of the risk evaluation system for AVF puncture in preventing and treating thrombosis. Results Compared with the reference group after intervention, the study group had significantly higher mean internal fistula blood flow volume (P < 0.001) and significantly lower total incidence rate of vascular complications in fistulas (P < 0.05); according to the multifactor binary logistic regression analysis, it was found that diabetes, systolic blood pressure reduction, hemoglobin, low-density lipoprotein cholesterol (LDL-C), ultrafiltration rate, and elevation of blood phosphorus and platelet levels were the risk factors of thrombosis after AVF puncture in hemodialysis patients. Conclusion When risk factors of thrombosis are found in patients treated with hemodialysis, timely detection and intervention shall be applied in the early stage. Adopting the AVF puncture risk evaluation system has an extremely high application value in the clinic and is of important meaning in prolonging the service life of fistulas.
Highlights
Kidney disease has become an important disease that endangers human life health [1]
The inappropriate puncture method and higher puncture failure rate during dialysis will increase the damage of internal fistula vessels in patients, leading to thrombosis and causing the impairment of internal fistula function and threatening life [6, 7]
Interventional thrombolysis is a common method for treating thrombosis after puncture, which is based on the principle of combining thrombosis with drugs to achieve unobstructed blood flow through the dissolution process
Summary
To analyze the application value and relevance of risk evaluation system for arteriovenous fistula (AVF) puncture in thrombosis after puncture. All patients received the digital subtraction angiography (DSA) examination, and based on whether they had AVF thrombosis, they were divided into the nonthrombosis group (n 102) and thrombosis group (n 78), and according to the parity of their admission numbers, the patients in the thrombosis group were subdivided into the study group (n 39) and the reference group (n 39), so as to analyze the risk factors of thrombosis after AVF puncture and the application value of the risk evaluation system for AVF puncture in preventing and treating thrombosis. Adopting the AVF puncture risk evaluation system has an extremely high application value in the clinic and is of important meaning in prolonging the service life of fistulas
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