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四黄膏外敷治疗血液透析患者动静脉内瘘皮下血肿的疗效观察
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| 篇名： | 四黄膏外敷治疗血液透析患者动静脉内瘘皮下血肿的疗效观察 |
| TITLE： | |
| 摘要： | 目的：观察四黄膏外敷治疗血液透析患者动静脉内瘘皮下血肿的临床疗效。方法：选取进行血液透析且穿刺部位出现血肿的患者64例，按随机数字表法分为观察组和对照组，各32例。对照组患者采用50％硫酸镁浸泡过的纱布贴敷在血肿处，维持3.5～4.5 h，qd；观察组患者采用四黄膏外敷，并用纱布包裹，qd。两组患者均连续治疗15 d，同时进行基础护理。比较两组患者临床疗效，并观察两组患者治疗后透析血流量、硬结直径及血肿消退时间。结果：观察组患者有效率为96.87％（31/32），显著高于对照组的59.38％（19/32），差异有统计学意义（P＜0.05）。观察组患者治疗后的透析血流量为（254.6±45.8）ml/min，明显高于对照组的（210.5±20.5）ml/min，差异有统计学意义（P＜0.05）；观察组患者治疗后硬结直径为（1.4±0.1）cm、血肿消退时间为（5.6±4.3）d，明显短于对照组患者的（4.3±0.4）cm、（10.8±3.7）d，差异均有统计学意义（P＜0.05）。结论：四黄膏外敷能够较快改善血液透析患者皮下血肿，减少硬结，恢复血管内皮弹性，改善皮肿处血液流量。 |
| ABSTRACT： | OBJECTIVE： To observe clinical efficacy of Sihuang paste for external use in the treatment of subcutaneous hematoma of arteriovenous fistula in patients undergoing hemodialysis. METHODS： 64 patients undergoing hemodialysis and puncture hematoma were selected and randomly divided into observation group and control group， with 32 cases in each group. Control group used 50％ magnesium sulfate wet compress for hematoma， maintaining 3.5-4.5 h，qd. Observation group was given Sihuang paste for external use and gauze package， qd. Both group was given 15 days of treatment and basic nursing was given at the same time. Clinical efficacy was compared between 2 groups， and hemodialysis blood volume， sclerosis diameter and hematoma disappearance time were observed in 2 groups after treatment. RESULTS： The rate of excellent efficacy in observation group was 96.87％ （31/32）， which was significantly higher than that of control group （59.38％， 19/32）， with statistical significance （P＜0.05）. After treatment， hemodialysis blood volume of observation group was （254.6±45.8）ml/min， which was significantly higher than that of control group （210.5±20.5）ml/min， with statistical significance （P＜0.05）. After treatment， the sclerosis diameter and hematoma disappearance time of observation group were （1.4±0.1）cm and （5.6±4.3）d， significantly lower than （4.3±0.4）cm and （10.8±3.7）d of control group， all with statistical significance （P＜0.05）. CONCLUSIONS： Sihuang paste can rapidly improve subcutaneous hematoma and reduce sclerosis， recover the normal elasticity of blood vessels and improve blood flow of hematoma for hemodialysis patients. |
| 期刊： | 2016年第27卷第11期 |
| 作者： | 贾西姣，李丽，付文杰，朱桂萍 |
| AUTHORS： | JIA Xijiao，LI Li，FU Wenjie，ZHU Guiping |
| 关键字： | 血液透析；四黄膏；皮下血肿；血管内皮弹性；动静脉内瘘 |
| KEYWORDS： | Hemodialysis； Sihuang paste； Subcutaneous hematoma； Vascular endothelial elasticity； Arteriovenous fistula |
| 阅读数： | 278 次 |
| 本月下载数： | 1 次 |
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