黄翠婷 尹海鹰 薛毅 吴美林 林梦蕾

    【摘要】 目的：探討前瞻性功能锻炼对慢性肾脏病患者自体动静脉内瘘术成功率的影响。方法：以2018年7月-2020年5月在右江民族医学院附属医院肾内科住院的慢性肾脏病患者为研究对象，按随机数字表法将其分为对照组(n=45)和观察组(n=46)。对照组按护理常规进行护理，观察组在护理常规的基础上增加前瞻性功能锻炼。两组于入组后2个月进行自体动静脉内瘘术。比较两组入组时及手术前血管情况变化，对比两组内瘘手术成功率、术后并发症及内瘘成熟情况。结果：两组入组时头静脉内径、桡动脉内径及桡动脉血流速度，术前桡动脉内径、桡动脉血流速度，及对照组入组时头静脉内径、桡动脉内径及桡动脉血流速度与术前比较，差异均无统计学意义(P>0.05);观察组术前头静脉内径、桡动脉内径及桡动脉血流速度较入组时均改善，且观察组术前头静脉内径与对照组比较，差异均有统计学意义(P<0.05)。相比于对照组，观察组内瘘手术成功率更高，成熟时间更短，瘘静脉内径更大，血流量更充足，差异均有统计学意义(P<0.05)。两组术后并发症发生率比较，差异无统计学意义(P>0.05)。结论：前瞻性功能锻炼可以改善慢性肾脏病患者的血管条件，尤其利于增大头静脉内径，亦可以提高内瘘手术成功率，缩短内瘘成熟时间，增加瘘静脉内径，加大内瘘血流量。

    【关键词】 前瞻性功能锻炼 慢性肾脏病 自体动静脉内瘘

    Study on Effect of Prospective Functional Exercise on Success Rate of Autogenous Arteriovenous Fistula in Patients with Chronic Kidney Disease/HUANG Cuiting， YIN Haiying， XUE Yi， WU Meilin， LIN Menglei. //Medical Innovation of China， 2022， 19(06)： 0-099

    [Abstract] Objective： To investigate the effect of prospective functional exercise on the success rate of autogenous arteriovenous fistula in patients with chronic kidney disease. Method： Patients with chronic kidney disease who hospitalized in the Department of Nephrology of Affiliated Hospital of Youjiang Medical University for Nationalities from July 2018 to May 2020 were selected as the research subjects. These patients were divided into the control group (n=45) and the observation group (n=46) according to the random number table method. The control group was nursing according to nursing routine ......