天芷金黄膏联合喜疗妥治疗血液透析穿刺术后血肿的护理观察

Observation on treating hematoma after hemodialysis puncture with Tianzhi Jinhuang ointment plus Hirudoid

目的:研究分析在血液透析穿刺术后血肿的护理中,采用天芷金黄膏联合喜疗妥为患者进行预防治疗的效果。方法:选取广东省江门市五邑中医院血透中心收治的60例血液透析穿刺术后血肿患者作为本次研究对象,患者选取时间为2018年1月-2020年1月,按照治疗方法的不同将患者分为喜疗妥组与联合治疗组,两组各有患者30例。两组患者护理结束后对比两组患者的血肿消退时间、疼痛消失时间与患者满意度情况之间数据的差别。结果:护理结束后,联合治疗组30例患者的血肿吸收时间为(5.11±2.44)d,疼痛消失时间为(3.21±1.51)d;喜疗妥组30例患者的血肿吸收时间为(9.29±3.84)d,疼痛消失时间为(4.82±2.71)d,经对比,联合治疗组30例患者的血肿吸收时间与疼痛消失时间均明显短于喜疗妥组30例患者,组间差异有统计学意义(t_(1)=5.032,t_(2)=2.842,P<0.05);护理结束后,联合治疗组30例患者中满意例数为25例,占患者总比的83.33%(25/30),不满意例数为5例,占患者总比的16.67%(5/30),患者总有满意度为83.33%(25/30);而喜疗妥组30例患者中满意例数为15例,占患者总比的50.00%(15/30),不满意例数为15例,占患者总比的50.00%(15/30),患者总满意度为50.00%(15/30);经对比在患者满意度方面,联合治疗组的的患者满意度情况明显优于联合治疗组,组间差异有统计学意义(t_(1)=7.500,t_(2)=7.500,P<0.05)。结论:在血液透析穿刺术后出现血肿的患者护理中,采用天芷金黄膏联合喜疗妥为患者进行有效的预防治疗能够大大增加患者的护理满意度,改善护患关系的同时避免医疗纠纷的发生;同时采用此类治疗方法也能够对患者的血肿吸收时间与疼痛持续时间进行有效的缩短,改善患者的预后与生活质量,值得临床推广应用。

Objective:To study and analyze the effect of Tianzhi Jinhuang ointment(天芷金黄膏)combined with Hirudoid for the prevention and treatment of patients with hematoma after hemodialysis puncture.Methods:Sixty patients with hematoma after hemodialysis puncture admitted to Jiangmen Wuyi Hospital of TCM were selected as the research subjects.The patients were selected from January 2018 to January 2020.According to the different treatment methods,the patients were divided into the Hirudoid group and the combination treatment group,there were 30 patients in each group.After the care of the two groups of patients,the difference in data between the hematoma resolution time,pain resolution time and patient satisfaction of the two groups was compared.Results:After the end of nursing,the hematoma absorption time of 30 patients in the combination treatment group was(5.11±2.44)d,and the pain disappeared time was(3.21±1.51)d;the hematoma absorption time of 30 patients in the Hirudoid group was(9.29±2.44)d,the pain disappearance time was(4.82±2.71)d.After comparison,the hematoma absorption time and pain disappearance time of the 30 patients in the combination treatment group were significantly shorter than those of the 30 patients in the Hirudoid group,there were significant differences between the groups(t_(1)=5.032,t_(2)=2.842,P<0.05);After the end of care,25 of the 30 patients in the combination treatment group were satisfied,accounting for 83.33%of the total patients,and 5 were dissatisfied,and accounting for 16.67%(5/30)of the total patients,the patients’total satisfaction rate was 83.33%(25/30).Among the 30 patients in the Hirudoid group,15 were satisfied,accounting for 50.00%(15/30)of the total patients,and 15 were unsatisfactory,accounting for 50.00%(15/30)of the total proportion of patients.In terms of patient satisfaction,the patient satisfaction of the combination treatment group was significantly better than that of the control group,there were significant differences between the groups(t_(1)=7.500,t_(2)=7.500,P<0.05).Conclusion:In the care of patients with hematoma after hemodialysis puncture,the effective preventive treatment of Tianzhi Jinhuang ointment combined with Hirudoid can greatly increase the patient’s satisfaction with care,promote the nurse-patient relationship while avoiding medical disputes.At the same time,the use of such treatment methods can also effectively shorten the hematoma absorption time and pain duration of the patient,improve the prognosis and quality of life of the patient,and is worthy of clinical application.