远红外线联合活络膏外涂对糖尿病肾病维持性血液透析患者自体动静脉内瘘的影响

Effects of far infrared radiation combined with Huoluo Ointment for external application on the autogenous arteriovenous fistula of diabetic nep-hropathy patients undergoing maintenance hemodialysis

目的分析远红外线联合活络膏外涂对糖尿病肾病维持性血液透析患者自体动静脉内瘘(AVF)的影响。方法选取2022年1月至12月浙江省温州市中西医结合医院收治的72例糖尿病肾病患者为研究对象,按照数字随机表字法将其分为两组,各36例。对照组采用远红外线照射干预,观察组采用远红外线联合活络膏外涂。比较两组干预前后AVF每分钟血流量、静脉血管内径、血管壁厚度、瘘口面积、并发症总发生率及自我管理能力。结果干预前,两组AVF血流量、内瘘口面积、静脉血管内径及血管壁厚度比较,差异无统计学意义(P>0.05);干预后,两组AVF血流量、内瘘口面积、静脉血管内径及血管壁厚度较干预前升高,且观察组高于对照组(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。干预前,两组症状的识别、症状的管理、症状的预防及总分比较,差异无统计学意义(P>0.05);干预后,两组症状的识别、症状的管理、症状的预防及总分较干预前升高,且观察组高于对照组(P<0.05)。结论远红外线联合活络膏外涂可促进糖尿病肾病维持性血液透析患者AVF的通畅,维持通畅血流量,减少AVF并发症的发生,通过该方法的干预,提高了AVF患者自我管理能力,值得临床推广。

Objective To analyze the effect of far infrared combined with Huoluo Ointment for external application on autologous arteriovenous fistula(AVF)of diabetic nephropathy patients undergoing maintenance hemodialysis.Methods A total of 72 diabetic nephropathy patients admitted to Wenzhou Integrated Traditional and Western Medicine Hospital from January to December 2022 were selected as subjects,they were divided into two groups according to the random number table method,with 36 cases in each group.The control group used far infrared irradiation,the observation group applied far infrared combined with Huoluo Ointment for external application.The AVF blood flow per minute,venous diameter,vascular wall thickness,fistula area,total complication rate,and self-management ability were compared between the two groups before and after intervention.Results Before intervention,there was no significant difference in AVF blood flow,internal fistula opening area,venous diameter,and vascular wall thickness between the two groups(P>0.05).After intervention,AVF blood flow,internal fistula opening area,venous diameter,and vascular wall thickness in both groups were higher than before intervention,and those in the observation group were higher than those in the control group(P<0.05).The total complication rate of observation group was lower than that of control group(P<0.05).Before intervention,there was no significant difference in symptom recognition,symptom management,symptom prevention and total score between the two groups(P>0.05).After intervention,symptom recognition,symptom management,symptom prevention,and total score in both groups were higher than before intervention,and those in the observation group were higher than those in the control group(P<0.05).Conclusion The far infrared ray combined with Huouluo Ointment for external application can promote the patency of AVF,maintain the unobstructed blood flow,and reduce the occurrence of AVF complications.Through the intervention of this method,the self-management ability of AVF patients is improved,which is worthy of clinical promotion.