中药熏洗联合康复护理对尿毒症患者自体动静脉内瘘管成熟的干预效果  

Intervention effect of traditional Chinese medicine fumigation and washing combined with rehabilitation nursing on the maturation of autologous arteriovenous fistula in patients with uremia

作　　者：张钘 兰丽丽[1] 吴婷[1] ZHANG Yan;LAN Lili;WU Ting(Changzhou Hospital of Traditional Chinese Medicine,Changzhou,213000,China)

机构地区：[1]江苏省常州市中医医院肾病科,213000

出　　处：《护理实践与研究》2022年第20期3140-3144,共5页Nursing Practice and Research

基　　金：常州市科技计划项目(编号:CJ20209018)。

摘　　要：目的探讨中药熏洗联合康复护理模式对尿毒症患者自体动静脉内瘘管成熟的影响效果。方法将2018年1月—2021年6月医院收治的尿毒症行自体动静脉内瘘成形术的86例患者作为研究对象,按照组间基本特征匹配的原则将2018年1月—2019年3月收治的行自体动静脉内瘘成形术的43例尿毒症患者列入对照组,2019年4月—2021年6月收治的动静脉内瘘成形术的43例尿毒症患者列入观察组。对照组患者采用常规护理方法,观察组在对照组基础上采用中药熏洗联合康复训练的模式。观察两组患者内瘘血管内径、血流量、距皮肤表面的深度等,比较两组患者内瘘管成熟时间、成熟开管率、并发症发生率,以及患者自我康复与护理的依从性。结果两组患者术后内瘘血管多普勒超声结果、内瘘管成熟时间、开管率、并发症发生率、患者依从性等比较,观察组患者均优于对照组,差异具有统计学意义(P<0.05)。结论通过对尿毒症患者在自体动静脉内瘘管成熟过渡期间实施中药熏洗联合康复护理模式的干预,可使内瘘管的内径、血流量、血管壁距皮肤深度等指标更为接近预期值,缩短了内瘘管成熟时间,使患者对中药熏洗及康复训练的依从性提高,降低其并发症,进一步提高了手术的成功率。Objective To explore the effect of traditional Chinese medicine fumigation and washing combined with rehabilitation nursing mode on the maturation of autologous arteriovenous fistula in patients with uremia.Methods To select 86 patients with uremia who underwent autologous arteriovenous fistula angioplasty in the hospital from January 2018 to June 2021 were selected as the research subjects.According to the principle of matching the basic characteristics between the groups,43 patients with uremia who underwent autologous arteriovenous fistula plasty from January 2018 to March 2019 were included in a control group,43 patients with uremia who underwent arteriovenous fistula angioplasty from April 2019 to June 2021 were included in an observation group.The patients in the control group were treated with routine nursing methods,while the patients in the observation group were treated with traditional Chinese medicine fumigation and washing combined with rehabilitation training on the basis of the control group.The inner diameter of the fistula vessel,blood flow,and depth from the skin surface were observed in the two groups of patients,and the maturity time of the internal fistula,the rate of mature open cannula,the incidence of complications,and the compliance of patients with selfrehabilitation and nursing were compared between the two groups.Results Comparing the Doppler ultrasound results of internal fistula vessels,maturity time of the internal fistula,catheter opening rate,incidence of complications,and patient compliance between the two groups after operation,the observation group were better than the control group,and the differences were statistically significant(P<0.05).Conclusion The intervention of traditional Chinese medicine fumigation and washing combined with rehabilitation nursing mode for uremia patients during the transition period of autologous arteriovenous fistula can make the internal diameter of the internal fistula,blood flow,and the depth of the vessel wall from the skin to be closer to the

关 键 词：中药熏洗 康复护理 尿毒症 动静脉内瘘成形术 内瘘管成熟度 

分 类 号：R47[医药卫生—护理学]