传统的自体动-静脉内瘘穿刺法有绳梯法、扣眼法和区域法三种,各有利弊。如何选择适宜的穿刺方法、保护血管通路、减少并发症一直是血液透析护理关注的重点。本文观察扣眼法和绳梯法相结合的改良扣眼法实施内瘘穿刺的效果。资料与方法 1.一般资料肾功能衰竭行血液透析患者170例,年龄25-82岁。血透年限0.5-14(5.0±2.9)年。原发病均为肾源性肾功能衰竭。患者均 Traditional autologous arteriovenous fistula puncture method has rope ladder method, buttonhole method and the regional method of three, each has its own advantages and disadvantages. How to choose the appropriate puncture method to protect the vascular access and reduce the complications has been the focus of hemodialysis care. This article observes the buttonhole method and the rope ladder method combined with improved buttonhole method of implementation of fistula puncture effect. Materials and Methods 1. General Information Renal failure hemodialysis patients were 170 cases, aged 25-82 years. Hemodialysis duration 0.5-14 (5.0 ± 2.9) years. Primary disease are renal-derived renal failure. Patients are