目的探讨循证护理在预防血液透析患者中心静脉置管并发症中的应用。方法选取2013年5月至2016年1月于吉林大学第二医院进行中心静脉置管的血液透析患者96例,依据系统抽样法将患者分为观察组(n=48)和对照组(n=48),观察组进行循证护理,对照组进行常规护理,比较2组患者的诊疗护理满意度(服务态度、健康指导、病区环境、护理技术、治疗效果)及中心静脉置管并发症(导管脱出、感染、出血及导管堵塞)的发生率。结果观察组的诊疗护理满意度优于对照组(P<0.05),中心静脉置管并发症总发生率低于对照组(P<0.05)。结论循证护理能够提高中心静脉置管患者的诊疗护理满意度,并且能降低中心静脉置管后的并发症。 Objective To investigate the application of evidence-based nursing in the prevention of central venous catheterization complications in hemodialysis patients. Methods Ninety-six hemodialysis patients who underwent central venous catheterization at the Second Hospital of Jilin University from May 2013 to January 2016 were divided into observation group (n = 48) and control group (n = 48). The observation group received evidence-based nursing and the control group received routine nursing care. The nursing satisfaction (service attitude, health guidance, ward environment, nursing technology, treatment effect) and central venous catheterization complication Catheter prolapse, infection, bleeding and catheter blockage) incidence. Results The satisfaction rate of treatment and nursing in the observation group was better than that of the control group (P <0.05). The incidence of central venous catheter complications was lower than that of the control group (P <0.05). Conclusion Evidence-based nursing can improve the satisfaction degree of patient care in central venous catheterization and reduce the complications after central venous catheterization.