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探讨TDP灯(红外线热辐射仪)辐射配合多磺酸基黏多糖乳膏(喜辽妥乳膏)外涂,促进血液透析人造血管动静脉内瘘发育的效果观察。抽取64名人造血管动静脉内瘘的透析患者随机分为对照组与观察组,每组32例。观察组从内瘘术后一月至以后每次透析结束24h后用多磺酸基黏多糖乳膏外涂人造血管内瘘及吻合处的自身动静脉血管,并同时配合TDP灯照射人造血管动静脉内瘘;对照组也从内瘘术后一月至每次透析结束24h后只用多磺酸基黏多糖乳膏外涂进行护理,两组观察时间均为半年。比较两组血肿消退时间、血管弹性、内瘘杂音大小、血流量和局部硬结发生率结果。观察组在血管弹性、局部硬结发生率、内瘘杂音大小及血流量等方面均优于对照组,差异均有统计学意义(P<0.05)。TDP灯辐射配合多磺酸基黏多糖外涂能促进患者人造血管动静脉内瘘皮下组织损伤的修复,促进血肿消退,减少硬节,减少内瘘狭窄等并发症,恢复血管通畅,增加内瘘血流量,提高穿刺成功率。有效的护理干预可以促进人造血管内瘘的早日成熟和降低其并发症发生率,增加人造血管动静脉内瘘的使用年限,提高透析质量,延长透析患者的生命。
To investigate the effect of TDP lamp irradiation combined with polysulfonate mucopolysaccharide cream on the development of arteriovenous fistula in hemodialysis vascular prostheses. Totally 64 dialysis patients with arteriovenous fistulas were randomly divided into control group and observation group, with 32 cases in each group. Observation group from January after fistula after each dialysis after the end of 24 h with polysulfate mucopolysaccharide cream coated with artificial vascular fistula and anastomosis at the same time with the TDP light irradiation and artificial blood vessels Intravenous fistula; control group also from January after each fistula to dialysis after each end 24h after only polysulfonic acid mucopolysaccharide cream for external application, the two groups were observed for six months. The time to hematoma regression, the elasticity of the blood vessels, the size of the fistula, the blood flow and the incidence of local induration were compared between the two groups. The observation group was superior to the control group in terms of the elasticity of blood vessels, the incidence of local induration, the size of fistula noise and blood flow, and the differences were statistically significant (P <0.05). TDP lamp radiation with mucopolysaccharide polysaccharide topical application can promote repair of subcutaneous tissue injury of artificial arteriovenous fistula in patients, promote hematoma subsidence, reduce hard segment, reduce complications such as stenosis of fistula, restore blood vessel patency and increase fistula Blood flow, improve puncture success rate. Effective nursing intervention can promote the early maturation of artificial fistula and reduce the incidence of complications, increase the useful life of artificial arteriovenous fistula, improve the quality of dialysis and prolong the life of dialysis patients.