50%硫酸镁联合75%酒精湿敷治疗动静脉内瘘血肿的效果观察  

Effect of 50%magnesium sulfate combined with 75%alcohol wet compress on arteriovenous fistula hematoma

作　　者：唐安娜 唐斌 TANG Anna;TANG Bin(Blood Purification Center,Zhongshan People's Hospital,Zhongshan,Guangdong 528403,China)

机构地区：[1]中山市人民医院血液净化中心,广东中山528403

出　　处：《医药前沿》2021年第21期8-9,12,共3页Journal of Frontiers of Medicine

基　　金：中山市卫健局课题《50%硫酸镁联合75%酒精湿敷治疗血液透析动静脉内瘘穿刺处血肿的临床研究与应用》(2018A020195)。

摘　　要：目的:观察50%硫酸镁联合75%酒精湿敷治疗血液透析动静脉内瘘穿刺血肿的效果。方法:选取2018年6月—2020年1月在本院血液净化中心接受血透治疗中出现内瘘皮下血肿的120例患者,采用随机数字表法分成对照组(60例,50%硫酸镁溶液湿敷)与观察组(60例,50%硫酸镁联合75%酒精湿敷),观察两组疼痛症状、血肿改善情况及血流情况。结果:治疗后两组NRS评分均降低,且观察组治疗2 h、6 h、24hNRS评分均显著低于对照组(P<0.05),观察组疼痛完全缓解时间较对照组明显缩短(P<0.05);治疗24两组血肿直径均减少,观察组血肿直径减小幅度大于对照组(P<0.05),观察组血肿完全消退时间较对照组显著缩短,差异有统计学意义(P<0.05);治疗后观察组动静脉内瘘血管流量优于对照组(P<0.05),观察组血管狭窄发生率低于对照组(P<0.05)。结论50%硫酸镁联合75%酒精湿敷可快速解除动静脉内瘘穿刺处血肿,减轻疼痛症状,并改善动静脉内瘘血流情况,降低血管狭窄发生风险,值得临床应用。Objective To observe the effect of 50%magnesium sulfate combined with 75%alcohol wet compress on hemodialysis arteriovenous fistula puncture hematoma.Methods From June 2018 to January 2020,120 patients with internal fistula subcutaneous hematoma who received hemodialysis treatment in the blood purification Center of our hospital were selected and divided into control group(60 cases,50%magnesium sulfate solution wet compress)and observation group(60 cases,50%magnesium sulfate combined with 75%alcohol wet compress)by random number table.The pain symptoms,hematoma improvement and blood flow were observed in two groups.Results After treatment,the NRS scores of the two groups were decreased,and the scores of 2 h,6 h and 24hNRS in the observation group were significantly lower than those in the control group(P<0.05),and the time of complete pain relief in the observation group was significantly shorter than that in the control group(P<0.05).The diameter of hematoma in the observation group decreased more than that in the control group(P<0.05),and the time of complete regression of hematoma in the observation group was significantly shorter than that in the control group,with statistical significance(P<0.05).After treatment,the vascular flow of arteriovenous fistula in the observation group was better than that in the control group(P<0.05),and the incidence of vascular stenosis in the observation group was lower than that in the control group(P<0.05).Conclusion 50%magnesium sulfate combined with 75%alcohol wet compress can quickly relieve hematoma at arteriovenous fistula puncture,relieve pain symptoms,improve arteriovenous fistula blood flow,and reduce the risk of vascular stenosis,which is worthy of clinical promotion.

关 键 词：硫酸镁 酒精 动静脉内瘘 血肿 血流 

分 类 号：R543.6[医药卫生—心血管疾病]