摘要
目的探讨木瓜酒湿敷对预防维持性血液透析患者动静脉内瘘并发症的效果。方法将86例首次使用动静脉内瘘的维持性血透患者随机分为对照组和观察组各43例,透析结束24 h后,对照组采用内瘘穿刺后常规处理,观察组使用木瓜酒湿敷动静脉内瘘,观察并比较两组患者动静脉内瘘在19个月内血流量不足及内瘘狭窄、内瘘闭塞、血管硬化及动脉瘤的发生情况。结果观察组患者血流量不足、内瘘狭窄、内瘘堵塞及血管硬化的发生率显著低于对照组,两组比较差异均有统计学意义(P<0.01)。观察组患者动脉瘤的发生率也明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论木瓜酒湿敷预防动静脉内瘘并发症(内瘘狭窄、内瘘闭塞、血管硬化及动脉瘤)效果显著,可延长内瘘使用寿命。
Objective To discuss the effect of wet dressing therapy with papaw wine to prevent the complications of arteriove- nous fistula in patients with maintenance hemodialysis. Methods The 86 maintenance hemodialysis patients who used arteriove- nous fistula firstly were randomly divided into observation group（43 cases） and control group（43 cases）. 24 h after the dialysis, the arteriovenous fistulas were treated with the conventional methods in the control group and with wet dressing therapy using pa- paw wine in the observation group. The follow up was 19 months. The incidence rate of arterial insufficiency,stenosis or complete closure of the fistula, vascular sclerosis and aneurysm were recorded and compared in both groups. Results The incidence rate of arterial insufficiency, stenosis or complete closure of the fistula and vascular sclerosis in the observation group was significantly lower than that in the control group, and the differences was statistically significant（ P 〈 0.01 ）. The incidence of aneurysm in the observation group was also significantly lower than that in the control group （ P 〈 0.05 ）. Conclusion The wet dressing therapy with papaw wine can effectively prevent the complications of arterriovenous fistula and may extend the service life of arterriovenous fistula.
出处
《中华全科医学》
2012年第6期975-975,996,共2页
Chinese Journal of General Practice
基金
广东省湛江市科研项目(2011C3104026)
关键词
血液透析
动静脉内瘘
木瓜酒
预防
并发症
护理
Hemodialysis
Arteriovenous fistula
Papaw wine
Prevention
Complication
Nursing care
