[摘要]目的 了解指压止血法和弹力绷带压迫止血法对早期使用的动静脉内瘘穿刺点的止血效果及并发症。方法 将82例血液透析病人早期使用的动静脉内瘘随机分为两组，分别用指压止血法和弹力绷带压迫止血法对1 660例次内瘘穿刺点进行压迫止血，比较两种方法止血时间和并发症发生率。结果 指压止血法与弹力绷带压迫止血法比较，止血时间短，并发症的发生率低，差异有显著性( t′=37.473，P<0.05;χ2 = 4.269～ 12.869 ， P < 0.05)。结论 指压止血法是一种简单、安全、有效的内瘘止血方法，尤其适用于早期使用的动静脉内瘘。

    [关键词] 血液透析;动静脉内瘘;穿刺;压迫止血方法

    A COMPARISON OF TWO METHODS OF EARLY COMPRESSIVE HEMOSTASIS IN INTERNAL ARTERIOVENOUS FISTULA

    SHEN LI ， WANG XIANG-HUA， LI LIN

    (Department of Orthopaedics， West District of The Affiliated Hospital of Qingdao University Medical College， Qingdao 266003， China)

    [ABSTRACT]ObjectiveTo investigate the hematostatic effect of digital pressure hemostasis and pressure bandage hemosta-sis on the puncture site of internal arteriovenous fistula in the early stage. MethodsEighty-two patients undergoing arteriove-nous fistula were randomly divided into two groups. Digital pressure hemostasis or pressure bandage hemostasis was applied to stop bleeding at puncture points for 1 660 case times. The time needed for hemostasis and complications were compared. ResultsThe time needed for hemostasis and complications of digital pressure method were significantly less than that of pressure bandage hemo-stasis ( t′=37.473 ......