多功能艾灸仪治疗对血液透析患者动静脉内瘘功能影响的研究  

A study on the effect of multifunctional moxibustion apparatus on the function of arteriovenous fistula in hemodialysis patients

作　　者：吴玲艳[1] 贺斐 周燕妮 王海燕 许正锦[1] 

机构地区：[1]厦门市中医院/北京中医药大学厦门医院,福建厦门361009

出　　处：《中医临床研究》2018年第6期20-22,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察多功能艾灸仪治疗对血液透析患者动静脉内瘘功能的影响。方法:抽选2016年1月-2016年7月就诊于我院的慢性肾功能衰竭患者80例,随机法分为治疗组(n=50)和对照组(n=30)。两组患者均行自体动静脉内瘘成形术,对照组术后给予基础治疗,治疗组在此基础上行运用多功能艾灸仪行温和灸。开瘘后治疗组继续给予在非透析日进行多功能艾灸仪温和灸治疗至术后1年。比较治疗组与对照组首次开瘘、第13个月检测患者于透析中内瘘内径、内瘘血流量、透析中血流量和动静脉端压力,随访观察并记录两组患者的血管狭窄、血栓形成、管腔闭塞等并发症的发生率。结果:治疗组内瘘成熟后第一次穿刺时局部血肿、皮下淤血等并发症总发生率为2.00%显著低于对照组16.67%(P<0.05)。两组患者首次开瘘时内瘘直径、内瘘血流量、透析中血流量、动脉端压力及静脉端压力比较均无统计学差异(P>0.05)。1年后,治疗组患者血栓形成、血管狭窄、官腔闭塞等并发症发生率为8.00%,显著低于对照组30.00%(P<0.05),且超声指标优于对照组。结论:运用多动能艾灸仪温和灸治疗能减少患者动静脉内瘘成形术后内瘘早期并发症的发生,并对动静脉内瘘远期功能具有改善作用,有益于维护内瘘通畅、改善内瘘血流。Objective:To observe the effect of multifunctional moxibustion apparatus on the function of arteriovenous fistula in hemodialysis patient.Method:80 cases of patients with chronic renal failure treated in our hospital from January 2016 to July 2016 were selected and randomly divided into the treatment group(n=50)and the control group(n=30).Two groups of patients underwent autologous arteriovenous fistuloplasty;the control group was given basic treatment after operation,and the treatment group received warm moxibustion with multifunctional moxibustion apparatus.After the fistula,the treatment group continued mild moxibustion at non-dialysis days to 1 year after the operation.The first time to open the fistula,dialysis fistula diameter,blood flow of internal fistula in hemodialysis,blood flow,and arteriovenous pressure,the incidence rate,vascular stenosis,thrombosis and vessel occlusion and other complications were recorded in two groups of patients in the thirteenth months and compared.Result:The total incidence of local hematoma and subcutaneous congestion of the treatment group was 2.00%,which was significantly lower than 16.67%in the control group(P<0.05)at the first puncture.There was no significant difference in the diameter of internal fistula,blood flow of internal fistula,blood flow in dialysis,arterial end pressure and venous end pressure between two groups(P>0.05).1 year later,the complication rate of thrombosis,stenosis,occlusion and other bureaucratic of the treatment group patients was 8.00%,which was significantly lower than 30.00%in the control group(P<0.05);and the ultrasonic index of the treatment group was better than that in the control group.Conclusion:The use of multifunctional moxibustion apparatus could reduce early complications of arteriovenous fistula and improve the long-term function of arteriovenous fistula,which was helpful for maintaining smooth internal fistula and improving internal fistula blood flow.

关 键 词：多功能艾灸仪 温和灸 血液透析 动静脉内瘘 

分 类 号：R255.7[医药卫生—中医内科学]