股静脉与颈内静脉临时置管在血液透析中的应用比较分析

目的比较股静脉与颈内静脉临时置管在血液透析中的使用情况。方法采用回顾性对照研究，将60例需血液透析而未建立动、静脉内痿临时置管患者分为两组，股静脉临时置管组30例，颈内静脉临时置管组30例。观察两组患者导管使用寿命、并发症、透析血流量、Kt／v值等指标。结果颈内静脉组使用寿命（80±11）d，而股静脉组（25±1）d，有统计学差异（P〈0．05）。颈内静脉导管感染率，堵塞率明显低于股静脉组（P〈0．05）。两组透析的血液量、Kt／v值差异无显著性。结论对建立血液透析血管通路，股静脉及颈内静脉临时置管是较好的通路，颈内静脉优于股静脉。

Comparison between temporary pipe in internal jugular vein and femoral vein for hemodialysis

Objective： To compare the application of temporary pipe in femoral and internal jugular vein on hemodialysis.Methods：A retrospective control study was carried out to compare clinical datas including the cather survival,related complications,mean blood flow during hemodialysis and Kt/V on 30 patients with temporary pipe in internal jugular vein and 30 patients in femoral vein. Results：The service life of internal jugular vein group was （80 ± 11）d, the femoral vein group was （25± 11）d, and the difference was significant （P 〈 0.05）.The infection rate and blockage rate in internal jugular vein group were significant lower than the femoral vein group,but the mean blood flow during hemodialysis and Kt/v had no difference between two groups.Conclusion：The pipes in femoral and internal jugular vein are good for hemodialysis, and internal jugular vein are better than femoral vein.