摘要
目的观察改良式八邪操联合热敏灸对尿毒症患者自体动静脉内瘘(AVF)的护理效果。方法选取2020年8月至2022年2月江西中医药大学附属医院收治的80例行自体AVF成形术的尿毒症患者作为研究对象,按照随机数字法分为对照组(40例)和观察组(40例)。对照组给予术后常规护理,观察组在对照组的基础上,实施改良式八邪操功能锻炼联合热敏灸干预,两组均干预12周。比较两组的内瘘成熟度和动静脉内瘘使用情况。结果术后8、12周,观察组的物理成熟率及超声成熟率均高于对照组,观察组静脉内径均长于对照组,静脉距皮深度均短于对照组,静脉端血流量均高于对照组,差异有统计学意义(P<0.05)。观察组的首次穿刺使用时间短于对照组,首次穿刺一针成功率高于对照组,术后6个月内并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论应用改良式八邪操联合热敏灸对尿毒症患者AVF的护理具有积极影响,可改善内瘘血流量,缩短成熟时间,提高穿刺成功率,降低并发症发生。
Objective To observe the nursing effect of modified Baxie exercises combined with heat-sensitive moxibustion on autologous arteriovenous fistula(AVF)in uremia patients.Methods A total of 80 uremic patients who underwent autologous AVF plasty in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from August 2020 to February 2022 were selected as the research objects.According to the random number method,they were divided into the control group(40 cases)and the observation group(40 cases).Patients in the control group were given routine postoperative nursing,while patients in the observation group were given modified Baxie exercise combined with heat-sensitive moxibustion on the basis of the control group.Both groups were intervened for 12 weeks.The maturity of internal fistula and the use of arteriovenous fistula were compared between the two groups.Results At 8 and 12 weeks after operation,the physical maturation rate and ultrasonic maturation rate of the observation group were higher than those of the control group,the venous inner diameter of the observation group was longer than that of the control group,the venous skin depth was shorter than that of the control group,and the venous blood flow was higher than that of the control group,and the differences were statistically significant(P<0.05).The first puncture time of the observation group was shorter than that of the control group,the success rate of the first puncture was higher than that of the control group,and the incidence of complications within 6 months after operation was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of modified Baxie exercises combined with heat-sensitive moxibustion has a positive effect on the nursing of AVF in uremia patients,which can improve the blood flow of internal fistula,shorten the ripening time,improve the puncture success rate and reduce the incidence of complications.
作者
彭国蕊
张清连
王婷
PENG Guorui;ZHANG Qinglian;WANG Ting(Department of Nursing,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Jiangxi Province,Nanchang330006,China)
出处
《中国当代医药》
CAS
2024年第14期158-161,共4页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2020A0080)。
关键词
动静脉内瘘
八邪操
热敏灸
尿毒症
中医护理
Arteriovenous fistula
Baxie exercises
Heat-sensitive moxibustion
Uremia
Traditional Chinese medicine nursing
