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目的观察多磺酸黏多糖软膏涂抹配合热敷在维持性血液透析(MHD)患者动静脉内瘘护理中的应用效果。方法将在医院行MHD治疗患者60例随机分为对照组和观察组,每组30例。对照组在MHD治疗结束后24 h用温水湿热敷30 min,每天3次;观察组在对照组温水湿热敷基础上加用多磺酸黏多糖软膏涂抹动静脉内瘘,每天3次。观察2组动静脉内瘘有无血管狭窄、硬化、栓塞及血流量减少等并发症的情况。结果观察组动静脉内瘘血管狭窄、硬化、栓塞及血流量减少并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论多磺酸黏多糖软膏涂抹配合热敷在减少MHD患者动静脉内瘘并发症的临床效果明显。
Objective To observe the effect of mucopolysaccharide polysaccharide ointment in combination with hot compress in the treatment of arteriovenous fistula in patients with maintenance hemodialysis (MHD). Methods Sixty patients with MHD in the hospital were randomly divided into control group and observation group, 30 cases in each group. The control group was treated with warm and damp heat for 24 hours after the MHD treatment for 30 minutes, three times a day. The observation group was treated with mucopolysaccharide mucopolysaccharide ointment on the basis of warm and humid heat in the control group, and the arteriovenous fistula was smeared 3 times a day. Two groups of arteriovenous fistula with or without vascular stenosis, sclerosis, embolism and blood flow reduction and other complications were observed. Results The incidence of complications of vascular stenosis, sclerosis, embolism and blood flow decrease in observation group was lower than that in control group (P <0.05). Conclusion The application of mucopolysaccharide mucopolysaccharide ointment combined with hot compress has obvious clinical effect in reducing the complications of arteriovenous fistula in MHD patients.