马铃薯片浸泡盐水外敷对动静脉内瘘的影响  

Study of potato chips soaking in brine external application to protect arteriovenous fistula

作　　者：许腊梅[1] 梁秀娟[1] 

机构地区：[1]广东医学院附属医院血透中心,湛江510030

出　　处：《中华现代护理杂志》2013年第14期1662-1664,共3页Chinese Journal of Modern Nursing

基　　金：湛江市科技攻关项目（2011C3105019）

摘　　要：目的 探讨马铃薯片浸泡盐水外敷保护动静脉内瘘的效果.方法 选择血液透析中心行动静脉内瘘穿刺后渗出、肿胀患者60例,按随机数字表法分为硫酸镁组、马铃薯组及喜辽妥组各20例.内瘘渗出部位硫酸镁组用50％硫酸镁湿敷,马铃薯组用马铃薯片浸泡盐水外敷,喜疗妥组用喜疗妥外涂.比较3组患者动静脉内瘘渗出显效时间、渗出痊愈时间、疼痛缓解时间及血流改善情况.结果 马铃薯组患者渗出显效时间、渗出痊愈时间、疼痛缓解时间分别为（3.95±1.00）,（13.05 ±2.11）,（4.65±0.67）h,均优于硫酸镁组和喜疗妥组的（8.15±1.04）,（22.75±1.62）,（8.55 ±0.94）h及（7.85±1.27）,（21.60±1.82）,（8.35 ±0.81）h,差异均有统计学意义（F分别为89.345,162.116,144.510；P＜0.01）；通过超声多普勒检测马铃薯组患者在改善血流量方面优于其他两组,差异有统计学意义（x^2 =7.800,P＜0.05）.结论 马铃薯片浸泡盐水外敷有利于保护动静脉内瘘,而且价格低廉、操作简单易行、起效快,值得临床推广应用.Objective To explore the effect of potato chips soaking in brine external application to protect arteriovenous fistula.Methods A total of 60 cases with oozing and swelling patients after intravenous fistula puncturing were randomly divided into group A （50% magnesium sulfate wet,n =20）,group B （potato chips soaked in brine external application,n =20） and group C （Hirudinous external rub,n =20）.Observed three groups of patients with arteriovenous fistula exudation markedly time,exudative healing time,pain relief time and improved the situation of patients blood flow by Doppler ultrasound detected.Results In Group B,exudative effectual time （3.95 ± 1.00）h,oozing healing time（13.05 ±2.11）h,pain relief time in advance （4.65 ± 0.67）h,comparing with group A and group C,the difference were statistically significant （F =89.345,162.116,144.510,respectively;P 〈 0.01）.And the improving blood flow of Group B was significantly better than that in group A and group C （x^2 =7.800,P 〈 0.05）.Conclusions Potato chips soaked in brine external application can protect the arteriovenous fistula,with low price,simple operation,rapid onset,which is worthy of clinical application.

关 键 词：动静脉瘘 肾透析 马铃薯 盐水 外敷 血流量 

分 类 号：R473[医药卫生—护理学]