五步健瘘操配合远红外线照射干预对血液透析患者动静脉内瘘的治疗效果观察  

Observation on the effect of five-step fistula repair exercise combined with far infrared radiation intervention on arteriovenous fistula in hemodialysis patients

作　　者：王秀端[1] 周伊娜 WANG Xiu-duan;ZHOU Yi-na(Department of Nephrology,First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院肾内科血透室,361000

出　　处：《中国现代药物应用》2024年第15期144-147,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨五步健瘘操+远红外线照射干预在血液透析(HD)患者动静脉内瘘(AVF)中的应用成效。方法选择2020年3月~2023年4月本院收治的50例HD患者,按随机数字表法分为观察组和对照组,每组25例。对照组实施常规干预性指导,观察组实施五步健瘘操配合远红外线照射干预。对比两组患者AVF成熟时间、并发症发生情况以及干预前后的穿刺疼痛程度、透析情况、生存质量。结果观察组AVF成熟时间为(36.33±4.62)d,短于对照组的(58.52±5.31)d(t=15.763,P=0.000<0.05)。干预后,两组患者视觉模拟评分法(VAS)评分均低于干预前,且观察组VAS评分(1.67±0.23)分低于对照组的(2.26±0.39)分(P<0.05)。干预后,观察组血管内径(6.62±0.75)mm大于对照组的(5.75±0.60)mm,透析血流量(271.75±17.44)ml/min高于对照组的(256.57±18.37)ml/min(P<0.05)。干预后,观察组社会功能评分(76.79±6.92)分、物质生活评分(78.74±7.33)分、躯体评分(81.86±6.85)分、心理评分(81.86±7.33)分均高于对照组的(69.65±6.68)、(70.78±6.98)、(72.74±6.68)、(72.78±6.95)分(P<0.05)。观察组并发症发生率4.00%低于对照组的32.00%(P<0.05)。结论五步健瘘操配合远红外线照射干预在HD患者中具有较好的应用效果,利于缩短其AVF成熟时间,减轻穿刺疼痛程度,改善透析情况,降低并发症发生率,提升生存质量。Objective To explore the practical effect of five-step fistula repair exercise plus far infrared radiation intervention on arteriovenous fistula(AVF)in hemodialysis(HD)patients.Methods 50 HD patients admitted to our hospital from March 2020 to April 2023 were divided into an observation group and a control group according to random number table method,with 25 cases in each group.The control group received routine intervention guidance,and the observation group received five-step fistula repair exercise combined with far infrared irradiation intervention.The maturation time of AVF,occurrence of complications,degree of puncture pain,dialysis status and quality of life before and after intervention were compared between the two groups.Results The maturation time of AVF of the observation group was(36.33±4.62)d,which was shorter than(58.52±5.31)d of the control group(t=15.763,P=0.000<0.05).After intervention,the visual analogue scale(VAS)score in both groups was lower than that before intervention,and the observation group had lower VAS score of(1.67±0.23)points than(2.26±0.39)points in the control group(P<0.05).After intervention,the observation group had greater vascular diameter of(6.62±0.75)mm than(5.75±0.60)mm in the control group,and higher dialysis blood flow of(271.75±17.44)ml/min than(256.57±18.37)ml/min in the control group(P<0.05).After intervention,the social function score of the observation group was(76.79±6.92)points,the material life score was(78.74±7.33)points,the physical score was(81.86±6.85)points and the psychological score was(81.86±7.33)points,which were higher than(69.65±6.68),(70.78±6.98),(72.74±6.68)and(72.78±6.95)points in the control group(P<0.05).The incidence of complications in the observation group was 4.00%,which was lower than 32.00%in the control group(P<0.05).Conclusion The combination of five-step fistula repair exercise and far infrared radiation intervention has a good application effect in hemodialysis patients,which is conducive to shortening their AVF maturati

关 键 词：血液透析 五步健瘘操 远红外线照射干预 动静脉内瘘 内瘘成熟时间 穿刺疼痛 并发症 

分 类 号：R692.5[医药卫生—泌尿科学]