Héctor Parra-Lomelí, C. A. Jiménez-Bernardino, A. P. Rico-Portillo, Iris Cazares-Campos, Manuel Guerrero-Ruiz, S. Prieto-Miranda
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引用次数: 0
摘要
目的:探讨血液透析中心静脉置管失败及多次穿刺的影响因素。方法:采用描述性分析研究,纳入2014年2 - 10月有血液透析需求的患者。血管通路诊所的护士记录临床特征,以及必要的穿刺次数,未能放置CVCHD及其直接并发症。数据分析采用相应的描述性统计和推断性统计;进行多元逻辑回归分析。结果:共分析180例手术,其中能够放置血液透析导管170例,占94.4%。既往有导管史的患者放置CVCHD的失败更为常见,OR为1.46 (95% CI 1.03 - 2.05)。结论:既往置管史者失败风险增加,且肥胖与置管需求相关
Fracaso y punción múltiple en la colocación de catéteres para hemodiálisis en un hospital escuela
Objective: To determine the incidence of influent factors in failure and multiple punctures for the placement of central venous catheter for hemodialysis (CVCHD). Methods: A descriptive analytical study, patients with hemodialysis requirements from February to October 2014 were included. Nurses of the vascular access clinic recorder clinical characteristics, as well as the number of necessary punctures, fail to place the CVCHD and its immediate complications. The analysis of the data was done with descriptive and inferential statistics as corresponded; multiple logistic regression was done. Results: 180 procedures were analyzed, of which 170 hemodialysis catheters (94.4%) were able to be placed. The failure of the CVCHD placement was more frequent in patients with a previous catheter history with an OR 1.46 (95% CI 1.03 - 2.05). Obesity was the only Conclusions: There was an increased risk of failure with a history of previous catheters and the obesity was associated with the need