中药熏洗联合木瓜酒湿敷对促进动静脉内瘘成熟的应用  

Application of traditional Chinese medicine fumigation combined with papaya wine in promoting the maturation of arteriovenous fistula

作　　者：莫贝霞 MO Beixia(Hemodialysis Room,Gaozhou City Hospital of Traditional Chinese Medicine,Gaozhou 525200,China)

机构地区：[1]广东省高州市中医院血透室,广东高州525200

出　　处：《中国医药科学》2017年第13期40-43,共4页China Medicine And Pharmacy

基　　金：广东省茂名市科技计划立项项目(2014095)

摘　　要：目的探讨中药熏洗联合木瓜酒湿敷用于促进自体动静脉内瘘成熟的有效性、安全性。方法将84例行动静脉内瘘成形术患者随机分为实验组和对照组,每组各42例,对照组给予常规治疗及护理,实验组在此基础上进行中药熏洗联合木瓜酒湿敷,观察用药前后患者血管头静脉内径、血流量变化,统计术后30d内内瘘闭塞、首次穿刺成功人数,比较两组内瘘成熟所有时间以及治疗情况。结果实验组血管狭窄改善、血流量改善、血管杂音增强、硬结软化治疗效果优于对照组,差异具有统计学意义(P<0.05);术后30d实验组血流量、内径明显大于对照组,同时实验组内瘘形成用时较对照组短,差异具有统计学意义(P<0.05)。结论中药熏洗配合木瓜酒湿敷能有效促进内瘘成熟、提高内瘘质量,减少内瘘闭塞情况的发生。Objective To observe the efficacy and safety of papaya wine wet dressing and traditional Chinesemedicine herbal fumigation in promoting maturation of autologous arteriovenous fistula.Methods84cases ofarteriovenous fistula plasty were randomly divided into the experimental group and the control group with42casesin each group.Patients in control group were treated with routine treatment and nursing,and patients in experimentalgroup were treated with fumigating with Chinese herbal medicine and wet compress of papaya wine on this basis.Thechange of vessel head vein diameter and blood flow volume of patients before and after meditation were compared.The incidence of patients’internal fistula maturity after30days’of operation and the success rate of first puncturewere recorded.All the time and treatment of internal fistula mature were compared between two groups.Results Thevascular stenosis improvement,blood flow volume improvement,the enhancement of vascular murmur and the softeningof induration in the experimental group were better than those in the control group with P<0.05.After30days ofoperation,it could be found that the blood flow,diameter of experimental group was significantly greater than that ofthe control group,and the internal fistula formation time of experimental group was shorter than that of the controlgroup with P<0.05.Conclusion The Chinese herbal fumigation combined with papaya wine wet dressing clinicallyin treating patients with fistulization can effectively promote the maturity of fistula,improve the quality of internalfistula,enhance the effect of treatment,and reduce the occurrence of internal fistula occlusion.

关 键 词：木瓜酒 动静脉内瘘 中药熏洗 内瘘成熟 

分 类 号：R244.9[医药卫生—针灸推拿学]