自制中药膏对动静脉内瘘成熟率及并发症的效果

目的观察自制中药膏外用对动静脉内瘘成熟率及相关并发症的效果.方法选择透析的动静脉内瘘患者80例,随机分为观察组50例与对照组30例,对照组予常规功能锻炼,观察组予动物药膏外敷;6个月后评估疗效及副作用.结果观察组静脉内径、内瘘血流量、透析血流量、首针成功率、内瘘平均成熟期、内瘘成熟率、并发症发生率与对照组比较差异有统计学意义(P<0.05),安全无副作用.结论动物药膏对血透患者动静脉内瘘成熟率及预防并发症效果显著,无不良反应,可推广使用.

Objective To observe the clinical effect of external application of animal ointment on the maturation rate of internal arteriovenous fistula and relative complications.Methods 80 patients with internal arteriovenous fistula on dialysis in our hospital were randomly divided into an experimental group of 50 cases and a control group of 30 cases.The control group received routine functional exercises,and the experimental group received external application of animal ointment.The efficacy and side effects were evaluated 6 months later.Results The experimental group achieved a significant curative effect.There were significant differences in venous diameter,internal fistula blood flow,dialysis blood flow,first needle success rate,average internal fistula mature period,internal fistula maturity rate,and complication rate compared with the control group(P<0.05).It was safe and had no side effects.Conclusion Animal medicine has a significant effect on the maturation rate of internal arteriovenous fistulas and could prevent complications in hemodialysis patients.It has no adverse reactions and could be widely used.