功能锻炼联合远红外线治疗在动静脉内瘘成熟中的应用

Application of functional exercise combined with far infrared radiation therapy on autogenous arteriovenous fistula maturation

目的：探讨功能锻炼联合远红外线治疗对维持性血液透析患者自体动静脉内瘘（AVF）成熟中的应用效果。方法：选取2015年6月~2016年3月在我院行维持性血液透析治疗的患者80例,随机等分为观察组和对照组,对照组实施常规健康教育,观察组实施功能锻炼联合远红外线照射,2个月后观察两组患者的疗效。比较两组术后内瘘首次使用时间、透析时的血流量及透析后并发症发生情况。结果：观察组在动静脉内瘘初次使用时间、透析时的血流量等方面均优于对照组,两组比较差异有统计学意义（P〈0.05）。观察组穿刺后的并发症发生率低于对照组,但差异无统计学意义（P〉0.05）。结论：功能锻炼联合远红外线照射治疗,明显提高透析血流量,缩短内瘘成熟时间,减少并发症的发生,为血液透析治疗顺利进行提供了保障,建议临床推广应用。

Objective：To explore the effect of functional exercise combined with far infrared radiation therapy on autogenous arteriovenous fistula （AVF） maturation of patients with maintenance hemodialysis. Methods ： Selected 80 cases of patients treated with maintenance hemodialysis in our hospital from June 2015 to March 2016 and randomly divided them into observation group and control group with equal number. In the control group, routine health education was carded out. In the observation group,the functional exercise was carried out combined with far infrared radiation. After two months, the curative effect of the two groups was observed. The time of first use of fistula, the blood flow during dialysis and the incidence of complications after hemodialysis were com- pared between the two groups. Results ： The aspects such as arteriovenous fistula initial use time and blood flow during dialysis of the observation group were better than that of the control group. The difference between the two groups was statistically significant （ P 〈 0.05 ）. The complication rate of the observation group after puncture was lower than that of the control group, but the difference was not statistically significant （P 〉 0.05 ）. Conclusion ： Functional exercise combined with far infrared radiation therapy can significantly improve hemodialysis blood flow, shorten the maturation time of internal fistula and reduce the incidence of complications. It can provide a guarantee for the operation of hemodialysis therapy and is recommended for clinical application.