摘要
[目的]观察三七合剂联合微波理疗对延长动静脉内瘘寿命的临床效果。[方法]选取2013年6月—2014年12月在肾病内科行血液透析且符合纳入标准的病人120例,将其随机分成3组:A组采用50%硫酸镁溶液湿敷治疗,B组使用喜疗妥乳膏外擦治疗,C组采用三七合剂联合微波疗法治疗。评价病人治疗前和治疗后24h疼痛缓解、皮下血肿消退情况;随访病人规律治疗2个月,追踪发生动静脉内瘘血管狭窄及闭塞状况,比较透析前后3组病人血液中炎性因子水平。[结果]治疗后24h视觉模拟评分法(VAS)评分及疼痛消退平均时间比较,差异有统计学意义(P<0.05);C组治疗后24h血肿直径较治疗前及A组、B两组显著减小,差异有统计学意义(P<0.05);C组动静脉内瘘血管狭窄发生率明显低于A组和B组,差异有统计学意义(P<0.05);3组病人透析后血液中炎性因子水平比较,C组明显低于其他两组(P<0.05)。[结论]三七合剂联合微波理疗能有效降低动静脉内瘘并发症,可延长动静脉内瘘病人寿命。
Objective:To observe the clinical effect of notoginseng mixture combined with microwave physiother-apy for prolonging the life of arteriovenous fistula patients .Methods:A total of 120 patients were selected ,who have had hemodialysis in department of nephrology from June 2013 to December 2014 and met the inclusion cri-terias .The patients were randomly divided into three groups :group A received the treatment of 50% magnesi-um sulfate wet compress ,group B received the treatment of Hirudoid cream rub ,group C received the treatment of notoginseng mixture combined with microwave .Then the easement of pain and subcutaneous hematoma sub-side situation were evaluated before treatment and 24 h after treatment ;and the patients were followed up who had regular treatment for 2 months ,the vascular stenosis and occlusion of the arteriovenous fistula were tracked ,the levels of inflammatory factors in the blood were compared among the 3 groups before and after dial-ysis .Results:24 h after treatment ,the differences of visual analogy score(VAS) scores and the average time of pain subside were statistically significant (P〈0 .05);24 h after treatment ,the hematoma diameter in group C significantly decreased when compared with that before treatment and that in group A ,B ,the differences were statistically significant (P〈0 .05);the incidence of arteriovenous fistula vascular stenosis in group C was signifi-cantly lower than that in group A and group B ,the differences were statistically significant (P〈0 .05);in the comparison of inflammatory factors level in the blood among the 3 groups ,that in group C was significantly lower than that in the other two groups(P〈0 .05) .Conclusion:The notoginseng mixture combined with micro-wave therapy could effectively reduce the complications of arteriovenous fistula ,and prolong the life of patients with arteriovenous fistula .
出处
《护理研究(上旬版)》
2016年第7期2328-2332,共5页
Chinese Nursing Researsh
基金
2015年宜昌市医疗卫生科研项目
编号:A15301-29
关键词
三七合剂
动静脉内瘘
微波理疗
血液透析
并发症
皮下血肿
炎性因子
notoginseng mixture
arteriovenous fistula
microwave therapy
hemodialysis
complication
subcuta-neous hematoma
inflammatory factor