益气活血通络汤剂治疗动静脉内瘘术后临床研究  

Clinical Study on Nourishing Qi,Activating Blood Circulation and Collaterals Chinese Herbal Decoction for Postoperation of Arteriovenous Fistula

作　　者：徐皖东 柴琳晶 XU Wandong;CHAI Linjing

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]温州医科大学附属康宁医院,浙江温州325000

出　　处：《新中医》2019年第5期179-181,共3页New Chinese Medicine

摘　　要：目的:观察终末期肾脏病患者行动静脉内瘘术后采用自拟益气活血通络中药汤剂治疗临床效果。方法:将选取的80例终末期肾脏病患者作为本次研究对象,所有患者均行动静脉内瘘术治疗,按照随机数字表法分为2组各40例。对照组术后给予阿司匹林治疗,观察组术后于对照组治疗基础上采用自拟益气活血通络中药汤剂治疗。比较2组患者内瘘成熟时间、内瘘血流量、术后并发症、首次穿刺成功率,并于术后评价2组内瘘成熟情况。结果:治疗后,2组间内瘘成熟时间、内瘘血流量、内瘘初次使用时间比较,观察组内瘘成熟时间及初次使用时间均短于对照组,内瘘血流量高于对照组,差异有统计学意义(P <0.05)。观察组并发症率5.0%明显低于对照组17.5%(χ2=5.164,P=0.023)。首次穿刺成功率观察组为92.5%明显高于对照组75.0%,2组比较,差异有统计学意义(χ2=4.500,P=0.033)。结论:终末期肾脏病患者行动静脉内瘘术后给予自拟益气活血通络中药汤剂辅助治疗可促进动静脉内瘘成熟,增加内瘘血流量,减少术后并发症的发生,有利于提高首次穿刺成功率。Objective:To observe the clinical effect of nourishing qi,activating blood circulation and collaterals Chinese herbal decoction for patients with end stage renal disease after operation.Methods:Selected 80 cases of patients with end stage renal disease as study objects.All patients underwent intravenous sputum surgery and were divided into two groups of 40 cases of patients according to random number table.The control group was treated with aspirin after operation,while the observation group was additionally treated with nourishing qi,activating blood circulation and collaterals Chinese herbal decoction.Compared the maturity time,internal hemorrhage,postoperative complications,and first puncture success rate between the two groups,and evaluated the maturity of the two groups after operation.Results:After treatment,the maturity time,internal hemorrhage flow,and initial use time of internal fistula were compared between the two groups.The maturity time and initial use time of internal fistula in the observation group were shorter than those in the control group;the blood flow of the internal fistula was higher than that in the control group,difference being significant(P<0.05).The complication rate of the observation group was 5.0%,being obviously lower than that of 17.5%in the control group(χ2=5.164,P=0.023).The initial puncture success rate was 92.5%in the observation group,being obviously lower than that of 75.0%in the control group,compared the two groups,difference being significant(χ2=4.500,P=0.033).Conclusion:The application of nourishing qi,activating blood circulation and collaterals Chinese herbal decoction for arteriovenous fistula in patients with end stage renal disease after operation can promote the maturation of arteriovenous fistula,increase the blood flow of internal fistula,and reduce the occurrence of postoperative complications.It can improve the success rate of the first puncture.

关 键 词：动静脉内瘘 终末期肾脏病 益气活血通络 中药汤剂 阿司匹林 穿刺 

分 类 号：R277.5[医药卫生—中医学]