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首页> 外文期刊>Advances in Bioscience and Clinical Medicine >Comparison of Primary Patency and Maturation Rate of Antecubital Artriovenous Fistula for Dialysis in Diabetic Patient with Two Methods: Regional Block with Ropivacaine 0.5% and Local Anesthesia with Lidocaine 2%
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Comparison of Primary Patency and Maturation Rate of Antecubital Artriovenous Fistula for Dialysis in Diabetic Patient with Two Methods: Regional Block with Ropivacaine 0.5% and Local Anesthesia with Lidocaine 2%

机译：两种方法中糖尿病患者抗妊娠瘘的主要通畅和成熟率的比较：罗哌卡因罗哌港的区域块0.5％，局部麻醉与利多卡因2％

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Background: The best arteriovenous access in diabetic patients under dialysis is crucial to attain better therapeutic outcomes and improved prognosis in the patients. The purpose in this study was to compare the primary patency and maturation rate of antecubital artriovenous fistula for dialysis in diabetic patient with two methods: regional block with Ropivacaine 0.5% and local anesthesia with lidocaine 2%. Methods and Materials: In this randomized clinical trial, 40 consecutive diabetic patients under dialysis in 2016 and 2017 in a training center were enrolled and the primary patency and maturation rate of antecubital artriovenous fistula were compared with regional block with Ropivacaine 0.5% versus local anesthesia with lidocaine 2%. Results: The results in this study demonstrated that all factors of final arterial and venous diameter, blood flow, and patency were higher in group under regional block with Ropivacaine 0.5% and all except patency showed significant difference (P 0.05). The complications rates were alike across the groups (P 0.05). Conclusion: Totally, according to the obtained results, it may be concluded that regional block with Ropivacaine 0.5% is superior to local anesthesia with lidocaine 2% leading to higher patency rate and shorter maturation time and also higher arteriovenous diameter and blood flow.
机译：背景：透析下糖尿病患者的最佳动静脉接触至关重要，对患者进行更好的治疗结果和改善预后至关重要。本研究中的目的是将抗腊肠芳族瘘对糖尿病患者透析的主要通用和成熟率进行两种方法：罗哌港的区域块0.5％，局部麻醉，利多卡因2％。方法和材料：在该随机临床试验中，2016年和2017年在训练中心的透析下的40例连续糖尿病患者被纳入，并将抗腊肠芳族芳族瘘的主要通用和成熟率与罗哌港的区域块进行比较0.5％与局部麻醉相比Lidocaine 2％。结果：本研究的结果表明，在罗哌卡因0.5％的区域嵌段下，血液嵌段下的末端动脉和静脉直径，血流和通畅的所有因素都较高0.5％，除了隔膜之外的所有差异（P <0.05）。在这些群体中，并发症率是相似的（P> 0.05）。结论：完全根据所得的结果，可以得出结论，罗哌卡因0.5％的区域嵌段优于局部麻醉，利多卡因2％导致较高的通畅率和较短的成熟时间以及较高的动脉直径和血流。

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