Abstract:

Ｏｂｊｅｃｔｉｖｅ：To analyze the vascular access and its complications in hemodialysis (HD) patients in our center.
Ｍｅｔｈｏｄｏｌｏｇｙ：Patients receiving maintence hemodialysis therapy in our center were included in this study.
Ｒｅｓｕｌｔｓ：294 patients were enrolled in our study including 189 males (643%) and 105 females (357%) aged 532±151 years, and their dialysis duration was 03 to 32 years.Initial access was noncuffed temporary catheters in 235 patients (799%) and arteriovenous fistula (AVF) in 56 patients(190%). As to vascular access in maintenance hemodialysis stage, the use rate of AVF in patients with HD was 918% and tunneled cuffed catheter was 61%. Central venous access was preferentially obtained in the internal jugular vein, and the result of catheterrelated infections was 052/1 000 catheter days in noncuffed temporary catheters. The main creation site of AVF is radiocephalic fistula （754%）.
Ｃｏｎｃｌｕｓｉｏｎ：
In this crosssectional study, we found the initial vascular access was mainly noncuffed temporary catheter, and the mainly use of vascular access is AVF at present. Central venous access is preferentially obtained in the internal jugular vein and has a low rate of catheterrelated infections. The main creation site of AVF is radiocephalic fistula.