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- W2374975227 abstract "Objective To evaluate the correlation of puncture interval on internal fistula to recirculation and access flow rate. Methods We measured actual access flow rate (Qa) in 45 maintenance hemodialysis patients by using TRANSONIC HD02 haemodialysis monitoring apparatus and then assigned the patients into 3 groups: Qa 1000ml/min (13 cases), Qa 600～1000 ml/min (20 cases), and Qa 600ml/min (12 cases). We adopted 4 different puncture intervals (4, 6, 8, 10cm) and determined the recycling rate by using urea test and TRANS methods. Results Results from urea test and TRANS correlated each other significantly, with Spearman correlation coefficiency rs = 0. 934 and P0.01 when non-parameter statistical method was used. When Qa was 600 ml/min and puncture interval was 4cm, TRANS rate was 0% and urea test rate was 2.91+0.93%, indicating the negative result. When Qa was 600 ml/min, TRANS rate (%) inversely correlated with puncture interval (r = -0.956, P 0.01), and urea test rate (%) also inversely correlated with puncture interval (r=-0.996, P 0.01). Conclusion When Qa was 600ml/min and puncture interval greater than 4 cm, recirculation would not occur. However, when Qa was 600ml/min, recircu-lation rate increased with the decrease of puncture interval. No recirculation happened in the internal fistula if puncture interval was 10 cm. Monthly measurement of access flow rate is essential for the determination of punc-ture interval and protection of the fistula. The monthly measurement is also necessary for the prompt disclosure and intervention of fistula dysfunction." @default.
- W2374975227 created "2016-06-24" @default.
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- W2374975227 date "2007-01-01" @default.
- W2374975227 modified "2023-09-24" @default.
- W2374975227 title "Nursing problems in the occurrence of recirculation in relation to puncture interval on internal arteriovenous fistula" @default.
- W2374975227 hasPublicationYear "2007" @default.
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