摘要
目的探讨远红外线治疗仪照射在血液透析患者新建动静脉内瘘成熟的影响。方法选取我院2016年3月~2018年3月期间治疗的维持性血液透析并培养动静脉内瘘患者60例作为研究对象,根据单双数将其随机分为研究组(单数)与对照组(双数),各30例,所有患者术后3个月均由同一组护士进行穿刺,首次使用内瘘时间均为50 d,使用内瘘2个月为观察期,在此基础上,对照组患者给予健康教育,同时在2周拆线后采用握力器锻炼手臂肌肉功能,研究组患者于术后3 d采用远红外线治疗仪照射内瘘侧手臂。观察两组患者的治疗情况。结果研究组患者术后第1天内瘘成熟度评分比较差异无统计学意义(P>0.05),研究组患者术后40 d、术后110 d内瘘成熟度评分高于对照组,差异有统计学意义(P<0.05)。研究组患者血肿、渗血及栓塞等并发症发生率低于对照组,且第1针成功率高于对照组,差异有统计学意义(P<0.05)。研究组患者疼痛评分低于对照组,内瘘内径评分高于对照组,差异有统计学意义(P<0.05)。结论采用远红外线治疗仪照射能促进血液透析患者新建动静脉内瘘的成熟,以增强治疗效果,提高患者生命质量。
Objective To explore the effect of irradiation using far infrared therapy apparatus on maturation of newly created arteriovenous fistula in patients with hemodialysis.Methods Sixty patients with maintenance hemodialysis and culture of arteriovenous fistula treated in our hospital from March 2016 to March 2018 were selected as research subjects.According to odd and even numbers,those patients were randomly divided into the research group and the control group with 30 patients in each group.All patients were punctured by the same group of nurses 3 months after operation.The first period of using internal fistula was 50 days,and the observation period of using internal fistula was 2 months.On this basis,the patients in the control group were given health education.At the same time,the grip strength was used to exercise muscle function of arms after 2 weeks of suture removal.The patients in the research group were given irradiation to the arm on the side of internal fistula using far infrared therapy apparatus 3 days after operation.The treatment of the patients in two groups was observed.Results It was found that there was no significant statistical difference in maturation scores of internal fistula for the patients between the research group and the control group on the first day after operation(P>0.05).The maturation scores of internal fistula for the patients in the research group on the 40th day and 110th day after the operation were higher than those in the control group,with statistically significant differences(P<0.05).The incidences of complications such as hematoma,bleeding and embolism were lower in the research group than in the control group,and the success rate of one injection was higher in the research group than in the control group,with statistically significant differences(P<0.05).The pain scores of the patients in the research group were lower than those in the control group,and the inner diameter score of internal fistula in the research group were higher than that in the control group,with stat
作者
梁丽冰
刘英
LIANG Libing;LIU Ying(Department of Blood Purification,The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)
出处
《中国现代医生》
2020年第2期119-122,共4页
China Modern Doctor
关键词
远红外线治疗仪
照射
血液透析
新建动静脉内瘘
Far infrared therapy apparatus
Irradiation
Hemodialysis
Newly created arteriovenous fistula
