自体动静脉内瘘术后远红外线联合喜辽妥软膏外用在促进内瘘成熟及预防并发症中的应用效果  

Efficacy of far infrared therapy combined with external application of Hirudoid Cream for promoting internal fistula maturity and preventing complications following autogenous arteriovenous fistula surgery

作　　者：刘园园[1] 叶琨[1] 吕霞 彭小梅[1] 吴潮清[1] 曾春[1] LIU Yuan-yuan;YE Kun;Lv Xia;PENG Xiao-mei;WU Chao-qing;ZENG Chun(Department of Nephrology,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院肾内科

出　　处：《广西医学》2019年第17期2157-2160,共4页Guangxi Medical Journal

基　　金：广西玉林市科学研究与技术开发计划(玉市科20180104)

摘　　要：目的 观察自体动静脉内瘘(AAVF)术后远红外线联合喜辽妥软膏外用在促进内瘘成熟及预防并发症中的效果。方法 将120例慢性肾衰竭患者分为待透析组、透析观察组、透析对照组各40例,待透析组和透析观察组患者在行AAVF术后均采用远红外线理疗联合喜辽妥软膏局部外涂,透析对照组患者术后仅给予常规护理。比较3组的内瘘成熟率、内瘘血流量及术后并发症发生率。结果 AAVF术后1个月、2个月,待透析组、透析观察组内瘘成熟率均高于透析对照组,并且待透析组患者内瘘成熟率高于透析观察组(均P<0.05)。术后2个月、3个月、18个月,待透析组、透析观察组内瘘血流量均多于透析对照组(均P<0.05)。术后12个月、18个月,待透析组、透析观察组患者内瘘并发症发生率均低于透析对照组(均P<0.05)。结论 AAVF术后应用远红外线联合喜辽妥外用可促进内瘘成熟,尤其是提前行AAVF术者,并可增加内瘘血流量,降低内瘘并发症发生率。Objective To observe the efficacy of far infrared therapy combined with external application of Hirudoid Cream for promoting internal fistula maturity and preventing complications following autogenous arteriovenous fistula(AAVF) surgery. Methods A total of 120 patients with chronic renal failure were divided into pre-dialysis group ( n =40), dialysis observation group( n =40) and dialysis control group( n =40).Patients in the pre-dialysis and dialysis observation groups received far infrared physical therapy combined with localized external application of Hirudoid Cream following AAVF surgery,while patients in the dialysis control group were only given routine care after operation . Maturity rate of internal fistula,blood flow of internal fistula,and incidence rates of postoperative complications were compared among the three groups. Results One and 2 months after AAVF surgery,and the pre-dialysis and dialysis control groups obtained a higher maturity rate of internal fistula than the dialysis control group,the pre-dialysis group exhibited a higher maturity rate of internal fistula than the dialysis observation group(all P <0.05).Two,3 and 18 months after operation,the pre-dialysis and dialysis observation groups reported more blood flow of internal fistula than the dialysis control group(all P <0.05). Twelve and 18 months after operation,the pre-dialysis and dialysis observation groups had lower incidence rates of internal fistula -related complications than the dialysis control group(all P <0.05). Conclusion Post-AAVF-surgery far infrared therapy combined with external application of Hirudoid Cream can promote internal fistula maturity,especially in patients receiving AAVF surgery in advance,and can increase blood flow of internal fistula as well as reduce incidence rates of internal fistula-related complications.

关 键 词：动静脉内瘘术 自体 血液透析 内瘘成熟 并发症 远红外线 喜辽妥软膏 

分 类 号：R459.5[医药卫生—治疗学]