两种保护动静脉内瘘血管护理体会.docVIP

两种保护动静脉内瘘血管的护理体会 　　【摘要】 目的：比较三七叶泥+多磺酸粘多糖联合应用与单纯使用多磺酸粘多糖湿敷内瘘血管，观察两种方法对患者内瘘血管弹性的保护与血肿吸收效果的比较。方法：总结本院2011年1月-2013年1月72例使用动-静脉内瘘行血液透析的患者，按照随机数字表法分成观察组36例与对照组36例，观察组产生内瘘血肿27例次，对照组产生血肿33例次，观察组采用三七叶泥联合多磺酸粘多糖交替对动-静脉内瘘血管和血肿进行湿敷，对照组使用多磺酸粘多糖湿敷动静脉内瘘血管和血肿。结果：观察组较对照组内瘘血管弹性好，血肿吸收快。结论：采用三七叶泥+多磺酸粘多糖联合应用在血透患者动静脉内瘘中的应用，能延缓内瘘血管的硬化，促进血肿的吸收，有效保护内瘘血管。 　　【关键词】 血液净化； 动静脉内瘘； 多磺酸粘多糖； 三七总皂苷 　　Comparison of Two Kinds of Protective Nursing Care for Arteriovenous Fistula/LIU Hui， LI Wen-xiu.//Medical Innovation of China，2015，12（24）：080-082 　　【Abstract】 Objective： To observe the protective effects on arteriovenous fistula （AV） vascular elasticity and comparison of hematoma absorption benefits of two wet dressing methods for patients with AV fistula hematoma， using Panax Notoginseng Leaves Mud and Mucopolysaccharide Polysulfate vs. only Mucopolysaccharide Polysulfate Cream. Method： Seventy-two patients on maintenance hemodialysis through AV fistula in our hospital from January 2011 to January 2013 were selected and randomly assigned 36 cases to experimental group and 36 cases to control group. There were 27 episodes of AV fistula hematoma developed in the experimental group， and 33 episodes of AV fistula hematoma developed in the control group. The patients in the experimental group received wet dressing care over the AV fistula and hematoma with Panax Notoginseng Leaves Mud alternatively with Mucopolysaccharide Polysulfate Cream. The patients in the control group received wet dressing care over the AV fistula and hematoma with only Mucopolysaccharide Polysulfate Cream. Result： The AV fistula vascular elasticity was better preserved in the experimental group than control group and the hematomas were resolved significantly faster in the experimental group. Conclusion： Application of Panax Notoginseng leaves mud and Mucopolysaccharide Polysulfate Cream wet dress in the treatment of hemodialysis patients with AV fistula hematoma can delay AV fistula sclerosis， expedite hematoma absorption and eff