水胶体敷料联合湿热敷对动静脉内瘘穿刺后血肿的影响

Effect of hydrocolloid dressing combined with wet hot compress on hematoma after arteriovenous fistula puncture

目的 探讨水胶体敷料联合湿热敷对动静脉内瘘穿刺后血肿的影响.方法 选取中南大学湘雅医学院附属海口医院2016年10月~2018年6月收治的108例动静脉内瘘穿刺后血肿患者为研究对象,采用随机数字表法将其分为对照组(54例)和观察组(54例).对照组给予50%硫酸镁湿热敷,观察组在对照组的基础上给予水胶体敷料贴敷.比较两组血肿消退时间、血流量、疼痛程度、血管硬化程度、瘀斑消退时间及治疗效果.结果 治疗2周后,观察组血肿消退时间短于对照组(P<0.05);两组血流量均升高,且观察组高于对照组(P<0.05);观察组疼痛程度低于对照组(P<0.05);观察组血管硬化程度低于对照组(P<0.05);观察组治疗有效率高于对照组(P<0.05).结论 水胶体敷料联合50%硫酸镁湿热敷能够明显缩短患者血肿时间,增加动静脉瘘的血流量,降低患者疼痛程度及血管硬化程度,并促进患者瘀斑的消退,提高患者治疗效果.

Objective To investigate the effect of hydrocolloid dressing combined with wet hot compress on hematoma after arteriovenous fistula puncture.Methods A total of 108 patients with hematoma after arteriovenous fistula in Central South University Xiangya School of Medical Affiliated Haikou Hospital from October 2016 to June 2018 were selected as the subjects,they were divided into the control group(54 cases)and the observation group(54 cases)by random number table method.The control group was given wet hot compress with 50%magnesium sulfate,and the observation group was given hydrocolloid dressing apply based on the control group.The hematoma regression time,blood flow,pain degree,degree of vascular sclerosis,time of ecchymosis disappearance and treatment effect were compared between the two groups.Results After 2 weeks of treatment,the hematoma regression time in the observation group was shorter than that in the control group(P<0.05);blood flow in the two groups increased and the observation group was higher than that in the control group(P<0.05);the degree of pain in the observation group was significantly lower than that in the control group(P<0.05);the degree of vascular sclerosis in the observation group was lower than that in the control group(P<0.05);the effective rate of treatment in the observation group was higher than that in the control group(P<0.05).Conclusion Hydrocolloid dressing combined with 50%magnesium sulfate wet hot compress can significantly reduce the hematoma time,increase the blood flow of arteriovenous fistula,reduce the degree of pain and atherosclerosis,and promote the regression of ecchymosis and improve the treatment effect.