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为促进动静脉内瘘血栓形成腔内治疗护理的规范化和标准化，特制定《动静脉内瘘血栓形成患者腔内治疗护理规范专家共识》（下称《共识》）。该《共识》包括动静脉内瘘血栓形成常见的腔内治疗方式、术前护理和术后护理，旨在为动静脉内瘘血栓形成患者腔内治疗的规范化护理提供实践依据。
Abstract：In order to promote the standardization and normalization of endovascular treatment nursing for patients with arteriovenous fistula thrombosis,this “Expert Consensus on Endovascular Treatment Nursing for Patients with Arteriovenous Fistula Thrombosis”(hereinafter referred to as the“Consensus”)has been formulated.The content of this Consensus includes common endovascular treatment methods,preoperative nursing,and postoperative nursing for arteriovenous fistula thrombosis,aiming to provide a practical basis for standardized nursing of endovascular treatment for patients with arteriovenous fistula thrombosis.
[1]Viecelli AK,Mori TA,Roy-Chaudhury P,et al.The pathogenesis of hemodialysis vascular access failure and systemic therapies for its prevention:optimism unfulfilled[J].Semin Dial,2018,31:244-257.
[2]中国医院协会血液净化中心分会血管通路专业组．动静脉内瘘超声引导经皮腔内血管成形术规范化操作流程专家共识[J]．中国血液净化，2024,23:881-890.The Working Group on Vascular Access Blood Purification Center Branch of Chinese Hospital Association.Expert consensus on standardized operating procedures of ultrasoundguided percutaneous transluminal angioplasty of arteriovenous access[J].Chin J Blood Purif,2024,23:881-890.
[3]熊狄，周颖，万珍，等．尿激酶溶栓联合球囊扩张术治疗动静脉内瘘血栓闭塞的临床效果及相关因素分析[J]．中国血液净化，2023,22:463-466.Xiong D,Zhou Y,Wan Z,et al.Clinical effect and related factors of urokinase thrombolysis combined with balloon dilatation for the treatment of arteriovenous fistula occlusion due to thromboembolism[J].Chin J Blood Purif,2023,22:463-466.
[4]Ghaffarian AA,Al-Dulaimi R,Kraiss LW,et al.Clinical effectiveness of open thrombectomy for thrombosed autogenous arteriovenous fistulas and grafts[J].J Vasc Surg,2018,68:189-196.
[5]杨洁敏，毛景松．人工动静脉内瘘狭窄的防治[J]．血管与腔内血管外科杂志，2024,10:1103-1108.Yang JM,Mao JS.Prevention and treatment of artificial arteriovenous fistula stenosis[J].J Vasc Endovasc Surg,2024,10:1103-1108.
[6]张岚，杨硕菲．血透通路血栓形成腔内治疗的现状和挑战[J]．中华血管外科杂志，2022,7:225-228.Zhang L,Yang SF.Current status and challenges of endovascular therapy for thrombosis in hemodialysis access[J].Chin J Vasc Surg,2022,7:225-228.
[7]王宇飞，张玮．动静脉移植物内瘘并发症的干预原则[J]．中华医学杂志，2024,104:2980-2983.Wang YF,Zhang W.Intervention principles for complications of arteriovenous graft[J].Natl Med J China,2024,104:2980-2983.
[8]Lok CE,Huber TS,Orchanian-Cheff A,et al.Arteriovenous access for hemodialysis:a review[J].JAMA,2024,331:1307-1317.
[9]中国医学会肾脏病学分会．血液净化标准操作规程（2021版）[M]．北京：人民卫生出版社，2021.Chinese Society of Nephrology.Standard Operating Procedures for Blood Purification[M].Beijing:People′s Medical Publishing House,2021.
[10]袁静，李恒，应金萍，等．102例血液透析患者动静脉内瘘血栓形成的原因及护理[J]．中华护理杂志，2020,55:607-610.Yuan J,Li H,Ying JP,et al.The analysis of causes,treatment and prevention of thrombosis in arteriovenous fistula and its nursing care in 102 hemodialysis patients[J].Chin J Nurs,2020,55:607-610.
[11]中华医学会肾脏病学分会专家组．透析通路中国指南[J]．中华肾脏病杂志，2025,40:990-1070.Chinese Society of Nephrology.Guidelines for dialysis access in China[J].Chin J Nephrol,2025,40:990-1070.
[12]王玉柱，张丽红，詹申．动静脉内瘘血栓治疗临床实践建议[J]．中国血液净化，2022,21:545-549,568.Wang YZ, Zhang LH, Zhan S. Clinical practice recommendation for arteriovenous access thrombosis treatment[J].Chin J Blood Purif,2022,21:545-549,568.
[13]刘慢慢，徐丽云，王莎莎，等．超声引导下经皮腔内血管成形术在自体动静脉内瘘血栓形成治疗中的疗效研究[J]．中国血液净化，2022,21:436-440.Liu MM,Xu LY,Wang SS,et al.Efficacy of ultrasound-guided percutaneous transluminal angioplasty in the treatment of thrombosis in autogenous arteriovenous fistula[J].Chin J Blood Purif,2022,21:436-440.
[14]国家卫生健康委食品安全标准与监测评估司，中国营养学会，成人慢性肾脏病食养指南编写专家组．成人慢性肾脏病食养指南[J]．卫生研究，2024,53:357-362.The Food Safety Standards and Monitoring Evaluation Department of the National Health Commission,The Chinese Nutrition Society,The Expert Group for the Compilation of Dietary Guidelines for Adult Chronic Kidney Disease.Dietary Guidelines for Adult Chronic Kidney Disease[J].Health Res,2024,53:357-362.
[15]中国医师协会肾脏内科医师分会，中国中西医结合学会肾脏疾病专业委员会营养治疗指南专家协作组．中国慢性肾脏病营养治疗临床实践指南（2021版）[J]．中华医学杂志，2021,101:539-559.Chinese Nephrology Association,Expert Collaboration Group on Nutritional Therapy Guidelines of the Kidney Disease Professional Committee of the Chinese Society of Integrated Traditional Chinese and Western Medicine.Clinical Practice Guidelines for Nutritional Therapy of Chronic Kidney Disease in China[J].Natl Med J China,2021,101:539-559.
[16]刘善善，张娜，孙佳璐，等．“夯实围术期感染防控，保障手术质量安全”专项行动实施方案解读[J]．中华医院感染学杂志，2024,34:3521-3525.Liu SS,Zhang N,Sun JL,et al.Interpretation of the implementation plan of special action"strengthen perioperative infection prevention and control and ensure surgical quality and safety"[J].Chin J Nosocomiol,2024,34:3521-3525.
[17]茅一萍，郑军，李雷，等．术前去除毛发原则中国专家共识[J]．中华医院感染学杂志，2025,35:1-8.Mao YP,Zheng J,Li L,et al.Chinese experts′consensus on principles of preoperative hair removal[J].Chin J Nosocomiol,2025,35:1-8.
[18]李乐之，路潜．外科护理学（第七版）护理学[M]．北京：人民卫生出版社，2021.Li LZ,Lu Q.Surgical Nursing Nursing[M].Beijing:People′s Health Publishing House,2021.
[19]国际血管联盟中国分部护理专业委员会，海军军医大学第一附属医院血管外科．下肢缺血性疾病腔内治疗围术期护理规范专家共识[J]．中国血管外科杂志，2023,15:17-22.Chinese Chapter of the International Union of Angiology Nursing Specialized Committee,Department of Vascular Surgery of the First Affiliated Hospital of Naval Medical University.Expert consensus on perioperative nursing standards of endovascular treatment for ischemic disease of the lower limbs[J].Chin J Vasc Surg,2023,15:17-22.
[20]Gallieni M,Hollenbeck M,Inston N,et al.Clinical practice guideline on peri-and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults[J].Nephrol Dial Transplant,2020,35:2203.
[21]血液透析移植物动静脉内瘘护理中国专家共识工作组．血液透析移植物动静脉内瘘护理中国专家共识（第1版）[J]．中国血液净化，2025,24:89-107.Chinese Expert Consensus working group on Hemodialysis Arteriovenous Graft. Chinese expert consensus on hemodialysis arteriovenous graft nursing(1st edition)[J].Chin J Blood Purif,2025,24:89-107.
[22]Lok CE,Huber TS,Lee T,et al.KDOQI Clinical Practice Guideline for Vascular Access:2019 Update[J].Am J Kidney Dis,2020,75:S1-S164.
[23]中国血液透析血管通路超声介入治疗共识专家组．中国血液透析血管通路超声介入治疗专家共识[J]．中华肾脏病杂志，2024,40:918-930.Chinese consensus expert group on ultrasound interventional therapy for hemodialysis vascular access.Expert consensus on ultrasound interventional therapy for hemodialysis vascular access in China[J].Chin J Nephrol,2024,40:918-930.
[24]Gu H,Wan Z,Lai QQ,et al.Efficacy of ultrasound-guided percutaneous transluminal angioplasty for arteriovenous fistula stenosis or occlusion at juxta-anastomosis:a3-year follow-up cohort study[J].J Vasc Surg,2021,74:217-224.
[25]李燕，葛静萍，尹媛媛．下肢深静脉血栓形成介入治疗护理实践指南[J]．介入放射学杂志，2025,34:5-17.Li Y,Ge JP,Yi YY.Guidelines for nursing practice in interventional treatment of lower extremity deep venous thrombosis[J].J Interv Radiol,2025,34:5-17.
[26]中华医学会心血管病学分会，中华心血管病杂志编辑委员会．急性肺栓塞诊断和治疗指南2025[J]．中华心血管病杂志，2025,53:587-619.Chinese Society of Cardiology,Chinese Medical Association,Editorial Board of Chinese Journal of Cardiology.Guidelines for the diagnosis and treatment of acute pulmonary embolism2025[J].Chin J Cardiol,2025,53:587-619.
[27]邵忠雯，童辉，鄢建军，等．血液透析患者移植物动静脉内瘘感染预防及管理的最佳证据总结[J]．护理学杂志，2024,39:105-110.Shao ZW,Tong H,Yan JJ,et al.Evidence summary on the prevention and management of arteriovenous graft infection in hemodialysis patients[J].J Nurs Sci,2024,39:105-110.
[28]张彬彬，魏丽丽，崔莉，等．血液透析患者移植物动静脉内瘘并发症预防与管理的证据总结[J]．中国护理管理，2024,24:95-101.Zhang BB,Wei LL,Cui L,et al.Evidence summary for prevention and management of complications of arteriovenous graft in hemodialysis patients[J].Chin Nurs Manag,2024,24:95-101.
[29]Li J,Lu H,Xie Z,et al.Outcomes of arteriovenous graft vs.fistula for haemodialysis access in the elderly:a systematic review and meta-analysis[J].Exp Ther Med,2023,26:399.
[30]Janeckova J,Bachleda P,Utikal P,et al.Arteriovenous grafts′types of indications and their infection rate[J].Ann Vasc Surg,2020,69:232-236.
[31]Kumbar L,Yee J.Current concepts in hemodialysis vascular access infections[J].Adv Chronic Kidney Dis,2019,26:16-22.
[32]Schmidli J,Widmer MK,Basile C,et al.Editor′s ChoiceVascular Access:2018 Clinical Practice Guidelines of the European Society for Vascular Surgery[J].Eur J Vasc Endovasc Surg,2018,55:757-818.
[33]Medricka M,Janeckova J,Koranda P,et al.18 F-FDG PET/CT and 99mTc-HMPAO-WBC SPECT/CT effectively contribute to early diagnosis of infection of arteriovenous graft for hemodialysis[J].Biomed Pap,2019,163:341-348.
[34]金荣国，金松，赵晨光，等．AngioJet机械吸栓系统临床应用的研究进展[J]．血管与腔内血管外科杂志，2021,7:1210-1214.Jin RG,Jin S,Zhao CG,et al.Research progress in clinical application of angiojet aspiration system[J].J Vasc Endovasc Surg,2021,7:1210-1214.
[35]Al-Mannai NEAH,Sibira D,Alsuwaidi H,et al.Acute kidney injury requiring dialysis after endovascular intervention for acute deep venous thrombosis:a case report and literature review[J].Clin Case Rep,2024,12:9263.
[36]Yang S,Wang X,Jin SS,et al.Increased risk of acute kidney injury with percutaneous mechanical thrombectomy using AngioJet compared with catheter-directed thrombolysis[J].J Vasc Surg Venous Lymphat Disord,2019,7:29-37.
[37]中国康复医学会肾脏病康复专业委员会，中关村肾病血液净化联盟肾康复专业委员会，中国医师协会康复医师分会肾康复治疗专业委员会．我国成人血液透析患者康复治疗的专家共识[J]．中国血液净化，2021,20:721-727.Renal Rehabilitation Committee of China Association Rehabilitation Medicine,Renal Rehabilitation Committee of Zhongguancun Nephrology&Blood Purification Innovation Alliance,Renal Rehabilitation Committee of Rehabilitation Physician Branch of China Medical Doctor Association.Expert consensus on rehabilitation treatment of adult hemodialysis patients in China[J].Chin J Blood Purif,2021,20:721-727.
[38]刘旺兴，申微，罗逊，等．自体动静脉内瘘狭窄介入治疗手术后管理的证据总结[J]．中国血液净化，2024,23:938-942.Liu WX,Shen W,Luo X,et al.Evidence summary for the management of autologous arteriovenous fistula stenosis after interventional therapy[J].Chin J Blood Purif,2024,23:938-942.
基本信息:
中图分类号:R473.5
引用信息:
[1]国际血管联盟中国分部护理专业委员会 ,陆巧丽,李海燕,等.动静脉内瘘血栓形成患者腔内治疗护理规范专家共识[J].介入放射学杂志,2026,35(06):591-596.
基金信息:
上海市科技创新行动计划优秀学科带头人（23XD1405000）
2026-06-24
2026-06-24