四黄膏外敷治疗血液透析患者动静脉内瘘皮下血肿的疗效观察

发布时间：2018-07-08 15:55

本文选题：血液透析 + 四黄膏　；参考：《中国药房》2016年11期

【摘要】：目的:观察四黄膏外敷治疗血液透析患者动静脉内瘘皮下血肿的临床疗效。方法:选取进行血液透析且穿刺部位出现血肿的患者64例,按随机数字表法分为观察组和对照组,各32例。对照组患者采用50%硫酸镁浸泡过的纱布贴敷在血肿处,维持3.5~4.5 h,qd;观察组患者采用四黄膏外敷,并用纱布包裹,qd。两组患者均连续治疗15 d,同时进行基础护理。比较两组患者临床疗效,并观察两组患者治疗后透析血流量、硬结直径及血肿消退时间。结果:观察组患者有效率为96.87%(31/32),显著高于对照组的59.38%(19/32),差异有统计学意义(P0.05)。观察组患者治疗后的透析血流量为(254.6±45.8)ml/min,明显高于对照组的(210.5±20.5)ml/min,差异有统计学意义(P0.05);观察组患者治疗后硬结直径为(1.4±0.1)cm、血肿消退时间为(5.6±4.3)d,明显短于对照组患者的(4.3±0.4)cm、(10.8±3.7)d,差异均有统计学意义(P0.05)。结论:四黄膏外敷能够较快改善血液透析患者皮下血肿,减少硬结,恢复血管内皮弹性,改善皮肿处血液流量。
[Abstract]:Objective: to observe the clinical effect of Sihuang ointment on subcutaneous hematoma of arteriovenous fistula in hemodialysis patients. Methods: 64 patients with hemodialysis and hematoma were randomly divided into observation group (n = 32) and control group (n = 32). In the control group, 50% magnesium sulfate soaked gauze was applied to the hematoma and maintained at 3.54.5 h / d, while the patients in the observation group were treated with Sihuang ointment and coated with gauze. Patients in both groups were treated continuously for 15 days, and basic nursing was carried out at the same time. To compare the clinical effect of the two groups, and to observe the hemodialysis blood flow, the diameter of knot and the time of hematoma regression after treatment. Results: the effective rate of the observation group was 96.87% (31 / 32), which was significantly higher than that of the control group (59.38%) (19 / 32), the difference was statistically significant (P0.05). The hemodialysis blood flow was (254.6 卤45.8) ml / min in the observation group, which was significantly higher than that in the control group (210.5 卤20.5ml / min) (P0.05), and the diameter of the hardened knot was (1.4 卤0.10) cm and the time of hematoma regression was (5.6 卤4.3) days in the observation group, which was significantly shorter than that in the control group (4.3 卤0.4) cm, (10.8 卤3.7d) (P0.05). Conclusion: the application of Sihuang ointment can improve subcutaneous hematoma, reduce induration, restore endothelium elasticity and improve blood flow in hemodialysis patients.
【作者单位】：郑州市中医院;
【分类号】：R473.5

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