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探讨马铃薯外敷和复方七叶皂苷钠外涂结合远红外线照射治疗自体动静脉内瘘皮下血肿的临床效果。将66例动静脉内瘘因穿刺失败等原因而发生皮下血肿伴疼痛的血液透析患者按随机数字法随机分成对照组和实验组,每组33例,实验组采取马铃薯外敷和复方七叶皂苷钠外涂结合远红外线照射治疗;对照组仅采用复方七叶皂苷钠凝胶外涂治疗,观察并记录两组患者疼痛持续时间、皮下血肿消退时间、是否形成皮下硬结和透析血流量情况,比较两组治疗效果。两组患者在疼痛持续时间、皮下血肿消退时间、皮下硬结形成及透析血流量情况等方面,实验组显著优于对照组,统计学上有显著性差异(均P<0.05)。采用马铃薯外敷和复方七叶皂苷钠外涂结合远红外线照射治疗动静脉内瘘皮下血肿的临床疗效显著,此护理方法安全、简单方便,值得在临床上推广。
To investigate the clinical effect of external application of potato and compound sodium aescinate combined with far-infrared radiation in the treatment of subcutaneous hematoma of arteriovenous fistula. 66 cases of arteriovenous fistula due to puncture failure and other causes of subcutaneous hematoma with pain in hemodialysis patients were randomly divided into control group and experimental group, 33 cases in each group. The experimental group took potato topical and compound sodium aescinate The combination of far infrared radiation treatment; the control group only treated with compound sodium aescinate sodium gel treatment, the duration of pain, subcutaneous hematoma regression time, formation of subcutaneous induration and dialysis blood flow were observed and recorded in two groups, compared with two Group treatment effect. The two groups of patients in the pain duration, subcutaneous hematoma subsidence time, the formation of subcutaneous induration and dialysis blood flow situation, the experimental group was significantly better than the control group, statistically significant differences (P <0.05). The clinical efficacy of using potato topical and compound sodium aescinate combined with far-infrared radiation in treating subcutaneous hematoma of arteriovenous fistula was significant. The nursing method is safe, simple and convenient and worthy of promotion in clinic.