芙黄膏联合温热敷治疗动静脉内瘘并发皮下血肿的效果观察

Clinical observation on effects of Fuhuang ointment combined with warm compress in treatment of subcutaneous hematoma in patients with arteriovenous fistula

目的观察芙黄膏联合温热敷治疗动静脉内瘘并发皮下血肿的疗效。方法血液透析后引起皮下血肿患者20例随机分为对照组和观察组,各10例。对照组采用喜疗妥联合温热敷,观察组采用芙黄膏联合温热敷。观察2组治疗3 d后血肿消退情况,血肿发生24 h后疼痛情况。治疗后随访6个月期间并发症发生情况。结果观察组血肿消退情况优于对照组,差异有统计学意义(P<0.05)。观察组疼痛程度低于对照组,并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论芙黄膏联合温热敷对动静脉内瘘使用过程中出现皮下血肿疗效显著。

Objective To observe the clinical effect of Fuhuang ointment combined with warm compress in treatment of subcutaneous hematoma in patients with arteriovenous fistula. Methods A to-tal of 20 patients with subcutaneous hematoma after creating arteriovenous fistula for hemodialysis were randomly divided into the control group and the observation group, with 10 cases in each group. The control group was given warm compress combined with hirudoid cream, while the observation group was applied with Fuhuang ointment combined with warm compress. The hematoma remission condition at 3 days after intervention and pain degree at 24 hours after subcutaneous hematoma onset was observed. The arteriovenous fistula related complications were observed during 6 month follow- up. Results Hematoma remission condition was better in the observation than that of control after treatment, with a significant difference （P 〈 0. 05 ）. Patients had less degree of pain and incidence of complications compared with those in the control group, but with no significant difference （P 〉0. 05）. Conclusion Fuhuang oint-ment combined with warm compress is effective in treatment of subcutaneous hematoma in patients with arteriovenous fistula.