两种湿敷法对动静脉内瘘皮下血肿的疗效对比  

Curative Comparison of Two Compress Methods on Arteriovenous Fistula Swelling Subcutaneous Hematoma

作　　者：黄永芳 

机构地区：[1]北流市人民医院血液净化室,广西北流537400

出　　处：《黑龙江医学》2014年第5期594-595,共2页Heilongjiang Medical Journal

摘　　要：目的 探讨木瓜酒和消肿止痛酊湿敷动静脉内瘘皮下血肿的效果.方法 选取2011-01～2013-10间我科血液净化室发生动静脉内瘘皮下血肿的血液透析患者62例,将其分为观察组和对照组,每组各31例.对照组：采用消肿止痛酊湿敷;观察组：使用木瓜酒湿敷.观察两组患者血肿吸收时间、皮肤瘀斑消退时间及血管硬化方面情况.结果 观察组与对照组血肿吸收时间、皮肤瘀斑消退时间无差异性（P＞0.05）,但是血管硬化方面比较,差异有显著性意义（P＜0.01）.结论 对于动静脉内瘘皮下血肿使用木瓜酒及消肿止痛酊湿敷都能促使血肿消退,但木瓜酒对血管弹性修复效果更好,制作简单,适合临床使用.Objectlve To study the papaya drink and wet Xiaozhong Zhitong tincture subcutaneous hematoma effects of arteriovenous fistula. Methods Selecting 62 cases with arteriovenous fistula swelling subcutaneous hematoma from January, 2011 to October, 2013 in blood purification room and dividing them into observation group and control group with 31 cases in each group. The control group used swelling pain tincture wet deposited, and the observation group used papaya wine wet deposited. Hematoma of absorption time, skin stasis spot fading time and the vascular hardening situation were observed. Results There was no difference in hematoma absorption time, skin ecchymosis fade time between the two groups （P 〉0.05）. But in hardening of the arteries comparison, there was significant meaning difference （P 〈 0.01 ）. Conclusion For subcutaneous hematoma arteriovenous fistula, using papaya drink and wet Xiaozhong Zhitong tincture can make hematoma fade fast, but the papaya drink on blood vessel elasticity is better, with simple produce process, and it is suitable for clinical use.

关 键 词：动静脉内瘘 皮下血肿 木瓜酒 消肿止痛酊 疗效 

分 类 号：R473[医药卫生—护理学]