积雪苷软膏在动静脉内瘘透析患者中的临床应用  

Clinical application of asiaticoside ointment in hemodialysis patients with arteriovenous fistula

作　　者：徐琴芳[1] 赵文娟[1] 孙美美[1] Xu Qinfang;Zhao Wenjuan;Sun Meimei(Shanghai Pudong New Area Gongli Hospital 200135)

机构地区：[1]上海市浦东新区公利医院,200135

出　　处：《中国社区医师》2017年第20期38-38,40,共2页Chinese Community Doctors

摘　　要：目的:观察积雪苷软膏对动静脉内瘘血管及周围皮肤硬结、瘢痕的疗效。方法:收治行动静脉内瘘穿刺的透析患者50例,分两组。治疗组在透析结束24 h后在穿刺部位血管及周围皮肤使用积雪苷软膏涂抹按摩,对照组则使用喜辽妥软膏进行局部涂抹按摩。结果:两组患者在治疗后6个月进行疗效比较,积雪苷软膏优于喜辽妥软膏,差异有统计学意义(P<0.05)。结论:积雪苷软膏可以有效软化长期行动静脉内瘘穿刺引起的血管硬化、皮肤硬结及疤痕,有利于护理人员穿刺,减轻患者痛苦,延长内瘘使用寿命。Objective:To observe the efficacy of asiaticoside ointment in the treatment of arteriovenous fistula,vascular andperipheral skin induration and scar.Methods:50cases of hemodialysis with arteriovenous fistula puncture were selected,and theywere divided into the two groups.The treatment group was treated with asiaticoside ointment at the puncture site,blood vessel andsurrounding skin at24h after dialysis.The control group was treated with hirudoid for local smear massage.Results:The twogroups of patients were compared6months after treatment,and the asiaticoside ointment was better than hirudoid;the differencewas statistically significant(P<0.05).Conclusion:Asiaticoside ointment can effectively soften the blood vessel sclerosis,skininduration and scar caused by the puncture of long acting arteriovenous fistula.It is helpful for the nurses to puncture,relieve thepain and prolong the service life of the fistula.

关 键 词：积雪苷软膏 动静脉内瘘 临床应用 

分 类 号：R473.5[医药卫生—护理学]