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在末期病中永久血管接入的模式和结果:多中心体验

Fatimah M Alhubail¹, Ali M Al Mousa¹, Ghadeer M Alhassan¹

¹Internal Medicine, College of Medicine, King Faisal University, AlAhsa, SAU.

|November 21, 2025

概括

动脉静脉 (AVF) 的使用与血液透析患者的更好的结果有关. 优化血红蛋白水平对于预防末期病 (ESKD) 血管接入失败至关重要.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
血管外科血管外科
公共卫生公共卫生

背景情况:

末期病 (ESKD) 是一个全球性的健康挑战,当移植不可能时,需要进行血液透析.
永久的血管接入,包括动脉静脉 (AVF),动脉静脉移植 (AVG) 和永久导管,对于有效的血液透析至关重要.
永久血管接入的模式和结果在患者群体之间有很大差异.

研究的目的:

描述在接受血液透析的ESKD患者的血管接入利用模式.
在这个人群中评估不同类型的永久血管接入的结果.

主要方法:

在2024年1月至6月期间,在沙特阿拉伯进行了一项回顾性,多中心,横截面研究.
分析了使用AVF,AVG或永久导管的378名成年血液透析患者的数据.
后勤回归被用来识别访问失败的独立预测因素.

主要成果:

永久性导管是占主导地位的接入类型 (79.6%),其次是AVF (29.9%).
总体访问通透率为85.7%,故障率为7.7%.
与标准导管 (13.7%) 相比,AVF的故障率较低 (5.3%). 血红蛋白低于目标值 (<12 g/dL) 与更高的失败几率相关 (OR 0.17,p=0.020).

结论:

动脉静脉 (AVF) 的使用与血液透析患者最有利的透析率有关.
贫血 (血红蛋白低于目标水平) 是血管通道缺陷的重要,可采取行动的相关因子.
早期规划AVF的产生和贫血管理对于提高永久访问耐用性至关重要.

关键词:

动脉静脉状囊动脉静脉状囊动脉静脉移植动脉静脉移植通过中央静脉导管导管.最终阶段的脏疾病.血液透析是血液透析的方法之一.多中心研究多中心研究.血管接入的途径.

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