Abstract:【Objective】To explore the related risk factors of subcutaneous hematoma in patients with arteriovenous fistula during uremic maintenance hemodialysis.【Methods】A retrospective analysis was conducted on the clinical data of 120 patients with arteriovenous fistula in uremic maintenance hemodialysis admitted to our hospital from July 2018 to December 2023. The patients were divided into the occurrence group (n=34) and the non-occurrence group (n=86) based on whether subcutaneous hematoma occurred. The clinical data of the patients were collected, and Logistic regression analysis was used to analyze the related risk factors of subcutaneous hematoma in patients with arteriovenous fistula during uremic maintenance hemodialysis.【Results】The proportions of age >65 years old, puncture times ≥3 times, puncture site infection, and compression hemostasis time <30 min after dialysis in the occurrence group were all higher than those in the non-occurrence group, and the differences were statistically significant (P<0.05). The results of Logistic regression analysis showed that age >65 years old, puncture times ≥3 times, puncture site infection, and compression hemostasis time <30 minutes after dialysis were all risk factors for subcutaneous hematoma in patients with arteriovenous fistula during uremic maintenance hemodialysis (P<0.05). 【Conclusion】Puncture site infection, puncture frequency, hemostasis compression time, age, etc. are all related factors affecting the subcutaneous hematoma of arteriovenous fistula in patients undergoing maintenance hemodialysis for uremia. Medical staff should strengthen the prevention and control nursing of puncture site infection, appropriately reduce the puncture frequency, prolong the hemostasis compression time, and enhance the condition monitoring and symptom assessment of elderly patients.
高称称, 张明明, 刘军丽, 杜玉勤. 尿毒症维持性血液透析动静脉内瘘患者发生皮下血肿的相关危险因素*[J]. 医学临床研究, 2025, 42(6): 927-929.
GAO Chengcheng, ZHANG Mingming, LIU Junli, et al. Related Risk Factors for Subcutaneous Hematoma in Patients with Arteriovenous Fistula during Uremic Maintenance Hemodialysis. JOURNAL OF CLINICAL RESEARCH, 2025, 42(6): 927-929.