基于超声监测吲哚布芬对血液透析自体动静脉内瘘患者内瘘血流量的影响  

Effect of indobufen on internal fistula blood flow in hemodialysis patients with autologous arteriovenous fistula based on ultrasound monitoring

作　　者：陈益锋 张晶晶[1] 张维龙[1] Chen Yifeng;Zhang Jingjing;Zhang Weilong(Nephrology department,people's hospital of Rudong county,Nantong,Jiangsu,226400,China)

机构地区：[1]如东县人民医院肾内科,江苏南通226400

出　　处：《齐齐哈尔医学院学报》2022年第18期1758-1761,共4页Journal of Qiqihar Medical University

摘　　要：目的探讨基于超声监测吲哚布芬对血液透析自体动静脉内瘘患者内瘘血流量的影响。方法选择2020年1月—2022年1月在本院门诊就诊的84例血液透析自体动静脉内瘘患者为研究对象,按照随机数表法分为实验组(吲哚布芬治疗)和对照组(常规血液透析治疗)两组,每组各42例。吲哚布芬治疗后检测患者的超声结果,两组内瘘血流量情况、两组患者感染、狭窄、消瘦综合征并发症,统计吲哚布芬治疗血液透析自体动静脉内瘘通畅率的发生情况。结果治疗后3个月,两组内瘘血流量比较,差异有统计学意义(P<0.05);与治疗后1个月相比,治疗后3个月,两组内瘘血流量均上升,且实验组内瘘血流量高于对照组(P<0.05)。两组患者感染、狭窄、消瘦综合征并发症对比,差异无统计学意义(P>0.05)。实验组血液透析自体动静脉内瘘患者内瘘通畅40例,内瘘通畅率为95.19%,对照组内瘘通畅率为76.19%,实验组内瘘通畅率高于对照组(P<0.05)。结论吲哚布芬治疗血液透析自体动静脉内瘘患者,可以提高内瘘血流量,且安全,基于超声监测吲哚布芬对血液透析自体动静脉内瘘患者内瘘通畅率较好。Objective To investigate the effect of indobufen on internal fistula blood flow in hemodialysis patients with autologous arteriovenous fistula based on ultrasonic monitoring.Methods 84 hemodialysis patients with autogenous arteriovenous fistula those were treated with different methods in outpatient department of the hospital from January 2020 to January 2022 were selected as the research objects.According to the random number table,they were divided into experimental group(42 cases,treated with indobufen)and control group(42 cases,treated with conventional hemodialysis).The ultrasonic results of patients after indobufen treatment,the blood flow of internal fistula in the two groups,the complications of infection,stenosis and wasting syndrome in the two groups,and the patency rate of autologous arteriovenous fistula in hemodialysis treated with indobufen were calculated.Results Three months after operation,the difference of the blood flow of internal fistula between the two groups was statistically significant(P<0.05).Compared with those as one month after operation,the blood flow of internal fistula in the two groups increased three months after operation,and the blood flow of internal fistula in the experimental group was higher than that in the control group(P<0.05).There was no difference in the complications of infection,stenosis and wasting syndrome between the two groups(P>0.05).In the experimental group,40 cases of hemodialysis patients with autologous arteriovenous fistula were unobstructed,and the unobstructed rate of internal fistula was 95.19%,the patency rate of internal fistula in the control group was 76.19%,and the patency rate of internal fistula in the experimental group was higher than that in the control group(P<0.05).Conclusions Indobufen could improve the blood flow of internal fistula in hemodialysis patients with autologous arteriovenous internal fistula,and it is safe.Indobufen has a good patency rate of internal fistula in hemodialysis patients with autologous arteriovenous internal fist

关 键 词：超声监测吲哚布芬 血液透析自体动静脉内瘘 吲哚布芬 血流量 内瘘通畅率 

分 类 号：R969[医药卫生—药理学]