远红外线护理治疗与常规热敷治疗在维持性血液透析患者内瘘中的疗效分析  

Effects of Far Infrared Radiation Nursing and Conventional Heat Treatment in Maintenance Hemodialysis Fistula Patients

作　　者：沈建琴[1] 缪立英[1] 刘金凤[1] 

机构地区：[1]苏州大学附属第三医院(常州市第一人民医院)血液净化中心,江苏常州213003

出　　处：《中国医药指南》2017年第28期8-9,共2页Guide of China Medicine

摘　　要：目的探讨远红外线照射护理疗法和常规热疗对维持性血液透析患者内瘘的临床疗效。方法 62例维持性血液透析患者随机分为2组红外组(29例)和对照组(33例),红外组(远红外线治疗仪联合喜疗妥软膏),对照组(热敷联合喜疗妥软膏),比较2组治疗后3个月的护理治疗的效果。结果 3个月后红外组较对照组硬结、血管狭窄、静脉炎及淤血/血肿发生率均显著下降(P<0.05),透析血流量较对照组增高(P<0.05)。结论在维持性血液透析患者内瘘的护理治疗中,远红外线护理治疗较常规热敷治疗能减少临床并发症及增加透析血流量。Objective To explore the effect of far infrared radiation nursing and conventional heat treatment in maintenance hemodialysis fistula patients.Methods Sixty-two maintenance hemodialysis fistula patients were randomly divided into two groups： far infrared radiation group（29 patients） and control group（33 patients）. The patients in far infrared radiation group received nursing traditional hirudoid method and far infrared radiation. The patients in control group received traditional hirudoid method and heat treatment. The nursing care efficacy after 3 months between two groups were observed and analyzed.Result The incidence rate of scleroma, hemal stricture, phlebitis and congestion/hematoma in far infrared radiation group were significantly lower than control group（P〈0.05）, and the flow of blood to the dialysis was higher than control group（P〈0.05） after 3 months. Conclusion Compared conventional heat treatment, far infrared radiation nursing reduced clinical complications and enhanced the flow of blood to the dialysis in maintenance hemodialysis fistula patients.

关 键 词：远红外线 内瘘 血液透析 

分 类 号：R473.5[医药卫生—护理学] R459.5[医药卫生—临床医学]