中药畅瘘方湿敷联合远红外线治疗对血液透析患者自体动静脉内瘘功能的疗效分析
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唐定芳
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广西中医药大学附属瑞康医院，广西南宁，530011
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摘要：目的 探讨中药畅瘘方湿敷联合远红外线治疗对维持性血液透析患者自体动静脉内瘘功能的临床效果。方法 采取随机对照试验设计，2024 年 1 月~12 月，选择在本院就诊的维持性血液透析患者为研究对象，总例数 90 例，随机分组，每组 45 例，对照组单纯采取远红外线治疗，观察组联合运用远红外线与中药畅瘘方湿敷，比较两组患者的内瘘血流量、瘘口内径、穿刺疼痛程度、并发症发生率及治疗满意度。结果 内瘘血流量比较，观察组改善效果较优（P＜0.05），瘘口内径比较，两组无显著差异（P＞0.05）；穿刺疼痛比较，观察组较低（P＜0.05），并发症比较，观察组较低（P＜0.05）；治疗满意度比较，观察组较高（P＜0.05）。结论 维持性血液透析在远红外线治疗基础上协同运用中药畅瘘方湿敷可进一步改善自体动静脉内瘘早期功能，增加穿刺段内径并减轻穿刺后疼痛，对自体动静脉内瘘并发症具有一定的预防效果。
关健词：维持性血液透析；中药畅瘘方湿敷；远红外线；自体动静脉内瘘
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Efficacy Analysis of Traditional Chinese Medicine (TCM) "ChangLiu Fang" Wet Dressing Combined with Far Infrared Therapy onthe Function of Autologous Arteriovenous Fistula in HemodialysisPatients
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Dingfang Tang
Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning，Guangxi 530011，China
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Abstract: Objective Exploring the clinical effect of traditional Chinese medicine Changfu formula combined with far-infrared
therapy on maintaining arteriovenous fistula function in patients undergoing hemodialysis. Methods Adopting a randomized
controlled trial design, from January to December 2024, a total of 90 maintenance hemodialysis patients who visited our hospital were selected as the research subjects. They were randomly divided into two groups, with 45 patients in each group. The control group received only far-infrared treatment, while the observation group received a combination of far-infrared and traditional Chinese medicine Chang Fei Fang wet compress. The internal fistula blood flow, fistula diameter, puncture pain level, incidence of complications, and treatment satisfaction of the two groups of patients were compared. Results Comparison of blood flowin the internal fistula showed that the observation group had a better improvement effect (P<0.05), while there was no significant difference in the inner diameter of the fistula between the two groups (P>0.05); Comparison of puncture pain showed that the observation group had a lower level (P<0.05), and comparison of complications showed that the observation group had a lower level (P<0.05); The satisfaction with treatment was higher in the observation group (P<0.05). Conclusion The combination of maintenance hemodialysis with far-infrared therapy and the use of traditional Chinese medicine Changfu Fang wet compress canfurther improve the early function of autogenous arteriovenous fistula, increase the inner diameter of the uncture segment, andreduce post puncture pain, which has a certain preventive effect on complications of autogenous arteriovenous fistula.
Keywords : Maintenance hemodialysis; Chinese herbal formula for smooth fistula wet compress; Far infrared radiation;Autogenous arteriovenous fistula
参考文献
[1] 章丹,张娇娜,陈恬恬,等. 远红外线联合活络膏外涂对糖尿病肾病维持性血液透析患者自体动静脉内瘘的影响 [J]. 中国医药导报, 2024,21 (18): 65-68.
[2] 陈丹,严莉,王烈娟. 桃红四物汤加减联合红外线治疗仪对治疗维持性血液透析患者动静脉内瘘血肿的疗效观察 [J]. 黑龙江中医药,2024, 53 (01): 3-5.
[3] 任丽仪,周圣娟,徐晓洁. 绳梯穿刺方法结合多普光红外线照射在维持性血液透析患者中的应用 [J]. 齐鲁护理杂志, 2022, 28 (09): 159-161.
[4] 柴爱娟,桂欧乐,郑云仙,等. 中药湿热敷对维持性血液透析患者自体动静脉内瘘功能、并发症及生活质量的影响 [J]. 新中医, 2022, 54 (11):218-222.
[5] 彭婷,陆雅良,杨琳. 宽谱治疗仪联合金黄散外敷对血液透析患者静脉功能、穿刺疼痛的影响[J]. 中国医学创新, 2023, 20 (06): 57-61.
[6] 史月欣,刘福生,曹钋,等. 外用活血散结方改善维持性血液透析患者自体动静脉内瘘功能临床观察 [J]. 现代中医临床 , 2022, 29 (02):1-6+18.
[7] 范一超. 基于活血通瘘方局部湿敷改善维持性血液透析患者内瘘功能的效果 [J]. 中国医药科学, 2021, 11 (17): 192-195.
[8] 马骏,张仲华,童辉,等. 远红外线照射对维持性血液透析病人自体动静脉内瘘血流量及相关并发症的影响 [J]. 全科护理, 2020, 18 (32):4457-4459.
[9] 魏宇,宋雅丽,袁丽莎,等. 活血化瘀中药外用对动静脉内瘘功能影响的系统评价 [J]. 上海护理, 2020, 20 (11): 15-21.
[10] 包越琴,罗玲,雷延兰. 责任制整体护理联合木瓜酒湿敷对维持性血液透析患者自体动静脉内瘘早期功能及并发症的影响 [J]. 现代中西医结合杂志, 2020, 29 (32): 3635-3639.
[11] 李雪梅, 王静波, 张红英. 中药熏蒸联合远红外线对血液透析患者动静脉内瘘维护的影响[J]. 中国中西医结合肾病杂志, 2023, 24(5):412-415.
[12] 陈雪莲, 周帆, 吴晓峰. 活血化瘀方湿敷对维持性血液透析患者内瘘血栓形成的预防效果[J]. 中华护理杂志, 2023, 58(8): 1203-1207.
[13] 刘阳, 赵明华, 孙丽娜. 远红外线照射时长与动静脉内瘘血流量关系的临床研究[J]. 中国血液净化, 2024, 23(2): 89-92.
[14] 黄美玲, 林志强, 何玉婷. 基于中医“络病理论”的动静脉内瘘维护方案构建与应用[J]. 护理研究, 2024, 38(3): 456-460.
[15] 郑晓红, 徐敏, 董丽萍. 多学科协作模式下中药联合远红外线在AVF护理中的实践[J]. 中国实用护理杂志, 2023, 39(12): 901-905.
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