宽谱远红外线照射维持性血液透析患者自体动静脉内瘘的疗效观察  

Clinical observation of wide spectrum far infrared irradiation on autogenous arteriovenous fistula in maintenance hemodialysis patients

作　　者：王珍[1] 梁燕萍[1] 肖翠艳[1] 

机构地区：[1]广东医学院附属医院血透室,广东湛江524001

出　　处：《中国现代医生》2016年第9期76-78,共3页China Modern Doctor

摘　　要：目的研究宽谱远红外线照射对维持性血液透析患者自体动静脉内瘘（AVF）的临床护理效果。方法选取2014年1月～2015年1月在我院行维持性血液透析的患者132例,依照随机分组法将其分为观察组66例和对照组66例。对照组实施常规护理,观察组在此基础上实施宽谱远红外线照射,3个月后观察两组的护理效果。结果观察组重度疼痛0.00%、中度疼痛3.03%,显著低于对照组的9.09%、13.64%;无疼痛78.79%,显著高于对照组的57.58%,差异有统计学意义（P〈0.05）。观察组护理效果优75.76%、优良率89.39%,均显著高于对照组的51.52%、68.18%,差异均有统计学意义（P〈0.05）。护理后观察组瘘管闭塞（0.00%）、感染（4.55%）、局部出血（3.03%）、血肿（9.09%）的发生率显著低于对照组（9.09%、18.18%、13.64%、24.24%）,差异均有统计学意义（均P〈0.05）。观察组首次使用内瘘时长显著高于对照组,差异有统计学意义（P〈0.05）。结论宽谱远红外线照射维持性血液透析患者自体AVF,能显著减少并发症发生率,缓解患者疼痛,提高护理效果,建议临床推广应用。Objective To study the clinical nursing effect of wide spectrum far infrared irradiation on autogenous arteriovenous fistula（AVF） in maintenance hemodialysis（MHD） patients. Methods A total of 132 MHD patients treated in our hospital from January 2014 to January 2015 were selected and randomly divided into the observation group（n=66）and the control group（n=66）. Patients in the control group were given routine nursing, while patients in the observation group were additionally given wide spectrum far infrared irradiation. The nursing effects were observed after three months. Results The proportions of severe pain（0.00%） and moderate pain（3.03%） in the observation group were significantly lower than those in the control group（9.09% and 13.64%, P〈0.05）. The proportion of no pain was 78.79%in the observation group, which was significantly higher than that in the control group（57.58%, P〈0.05）. The rates of excellent（75.76%） and excellent and good（89.39%） of nursing effect in the observation group were significantly higher than those in the control group（51.52% and 68.18%, P〈0.05）. The incidence rates of fistula occlusion（0.00%）, infection（4.55%）, local bleeding（3.03%）, and hematoma（9.09%）in the observation group were significantly lower than those in the control group（9.09%, 18.18%, 13.64%, and 24.24%, P〈0.05）. The time of first use of fistula in the observation group was significantly higher than that in the control group（P〈0.05）. Conclusion Wide spectrum far infrared irradiation on AVF in MHD patients can significantly reduce the incidence of complications, relieve pain and enhance nursing effect, thus is worthy to be promoted.

关 键 词：非热康谱红外线照射 尿毒症 血液透析 动静脉内瘘 护理 

分 类 号：R473.5[医药卫生—护理学]