中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
14期
1662-1664
,共3页
动静脉瘘%肾透析%马铃薯%盐水%外敷%血流量
動靜脈瘺%腎透析%馬鈴藷%鹽水%外敷%血流量
동정맥루%신투석%마령서%염수%외부%혈류량
Arteriovenous fistula%Hemodialysis%Potato%Brine%External application%Blood flow
目的 探讨马铃薯片浸泡盐水外敷保护动静脉内瘘的效果.方法 选择血液透析中心行动静脉内瘘穿刺后渗出、肿胀患者60例,按随机数字表法分为硫酸镁组、马铃薯组及喜辽妥组各20例.内瘘渗出部位硫酸镁组用50％硫酸镁湿敷,马铃薯组用马铃薯片浸泡盐水外敷,喜疗妥组用喜疗妥外涂.比较3组患者动静脉内瘘渗出显效时间、渗出痊愈时间、疼痛缓解时间及血流改善情况.结果 马铃薯组患者渗出显效时间、渗出痊愈时间、疼痛缓解时间分别为(3.95±1.00),(13.05 ±2.11),(4.65±0.67)h,均优于硫酸镁组和喜疗妥组的(8.15±1.04),(22.75±1.62),(8.55 ±0.94)h及(7.85±1.27),(21.60±1.82),(8.35 ±0.81)h,差异均有统计学意义(F分别为89.345,162.116,144.510；P＜0.01)；通过超声多普勒检测马铃薯组患者在改善血流量方面优于其他两组,差异有统计学意义(x2 =7.800,P＜0.05).结论 马铃薯片浸泡盐水外敷有利于保护动静脉内瘘,而且价格低廉、操作简单易行、起效快,值得临床推广应用.
目的 探討馬鈴藷片浸泡鹽水外敷保護動靜脈內瘺的效果.方法 選擇血液透析中心行動靜脈內瘺穿刺後滲齣、腫脹患者60例,按隨機數字錶法分為硫痠鎂組、馬鈴藷組及喜遼妥組各20例.內瘺滲齣部位硫痠鎂組用50％硫痠鎂濕敷,馬鈴藷組用馬鈴藷片浸泡鹽水外敷,喜療妥組用喜療妥外塗.比較3組患者動靜脈內瘺滲齣顯效時間、滲齣痊愈時間、疼痛緩解時間及血流改善情況.結果 馬鈴藷組患者滲齣顯效時間、滲齣痊愈時間、疼痛緩解時間分彆為(3.95±1.00),(13.05 ±2.11),(4.65±0.67)h,均優于硫痠鎂組和喜療妥組的(8.15±1.04),(22.75±1.62),(8.55 ±0.94)h及(7.85±1.27),(21.60±1.82),(8.35 ±0.81)h,差異均有統計學意義(F分彆為89.345,162.116,144.510；P＜0.01)；通過超聲多普勒檢測馬鈴藷組患者在改善血流量方麵優于其他兩組,差異有統計學意義(x2 =7.800,P＜0.05).結論 馬鈴藷片浸泡鹽水外敷有利于保護動靜脈內瘺,而且價格低廉、操作簡單易行、起效快,值得臨床推廣應用.
목적 탐토마령서편침포염수외부보호동정맥내루적효과.방법 선택혈액투석중심행동정맥내루천자후삼출、종창환자60례,안수궤수자표법분위류산미조、마령서조급희료타조각20례.내루삼출부위류산미조용50％류산미습부,마령서조용마령서편침포염수외부,희료타조용희료타외도.비교3조환자동정맥내루삼출현효시간、삼출전유시간、동통완해시간급혈류개선정황.결과 마령서조환자삼출현효시간、삼출전유시간、동통완해시간분별위(3.95±1.00),(13.05 ±2.11),(4.65±0.67)h,균우우류산미조화희료타조적(8.15±1.04),(22.75±1.62),(8.55 ±0.94)h급(7.85±1.27),(21.60±1.82),(8.35 ±0.81)h,차이균유통계학의의(F분별위89.345,162.116,144.510；P＜0.01)；통과초성다보륵검측마령서조환자재개선혈류량방면우우기타량조,차이유통계학의의(x2 =7.800,P＜0.05).결론 마령서편침포염수외부유리우보호동정맥내루,이차개격저렴、조작간단역행、기효쾌,치득림상추엄응용.
Objective To explore the effect of potato chips soaking in brine external application to protect arteriovenous fistula.Methods A total of 60 cases with oozing and swelling patients after intravenous fistula puncturing were randomly divided into group A (50％ magnesium sulfate wet,n =20),group B (potato chips soaked in brine external application,n =20) and group C (Hirudinous external rub,n =20).Observed three groups of patients with arteriovenous fistula exudation markedly time,exudative healing time,pain relief time and improved the situation of patients blood flow by Doppler ultrasound detected.Results In Group B,exudative effectual time (3.95 ± 1.00)h,oozing healing time(13.05 ±2.11)h,pain relief time in advance (4.65 ± 0.67)h,comparing with group A and group C,the difference were statistically significant (F =89.345,162.116,144.510,respectively;P ＜ 0.01).And the improving blood flow of Group B was significantly better than that in group A and group C (x2 =7.800,P ＜ 0.05).Conclusions Potato chips soaked in brine external application can protect the arteriovenous fistula,with low price,simple operation,rapid onset,which is worthy of clinical application.
