摘要
目的分析围手术期功能锻炼在前臂自体动静脉内瘘术患者中应用的效果。方法将2013年6月至2014年10月在株洲市三三一医院行前臂自体动静脉内瘘术的124例终末期肾病患者，按随机数字表法随机分为A组（功能锻炼组）65例和B组（对照组）59例，并对2组的相关指标进行比较分析。结果A组手术前功能锻炼后桡动脉及头静脉内径分别为（1．96±1．73）、（2．15±0．16）mm，较自身功能锻炼前的（1．88±0．23）、（2．06±0．18）mm显著增粗，差异有统计学意义，P〈0．05。A组术后一期畅通65例，血栓形成1例；B组术后一期畅通55例，血栓形成6例。A组术后手背水肿时间（4．65±0．89）d明显短于B组的（6．12±1．05）d；术后内瘘成熟时间A组（43．76±2．21）d，明显短于B组的（49．69±5．85）d，差异有统计学意义，P〈0．05。结论系统性强化围手术期功能锻炼能显著改善术前血管条件，提高手术成功率，减少术后血栓形成概率及缩短手背水肿时间、内瘘成熟时间。
Objective To evaluate the effects of perioperative rehabilitation for patients with self- forearm internal arteriovenous fistula. Methods Divided 124 patients with end-stage renal disease into the functional training group （65 cases, A group）and the control group（59 cases,B group） randomly, and then compared certain related indexes between the two groups. Results In the A group, the artery diameter was obvious widen before functional training without operation, and the vein diameter was obvious widen before functional training without operation too, P 〈 0.05. After operation, the A group Anastomotic unobstructed was obviously better than B group in one-stage, P〈 0.05. A group with thrombosis cases significantly less postoperative than B group, P 〈 0.05. A group with edema of hands was significantly shorter than B group , P 〈 0.01. Postoperative fistula time to maturity in the A group was （43.76 ± 2.21） days, which was significantly shorter than that of in the B group, （49.69 ± 5.85） days, P 〈 0.01. Conclusion Systematic strengthening of perioperative functional exercises can significantly improve preoperative vascular conditions, improve the success rate of operation, reduce risk of thrombosis cases, shorten the time of hand edema and the time of fistula in mature.
出处
《中国实用护理杂志》
2015年第15期1138-1140,共3页
Chinese Journal of Practical Nursing
关键词
动静脉内瘘术
围手术期
功能锻炼
Internal arteriovenous fistula
Perioperative period
Rehabilitation
