中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
15期
48-50
,共3页
如意金黄散%动静脉内瘘%血肿
如意金黃散%動靜脈內瘺%血腫
여의금황산%동정맥내루%혈종
Ruyi golden powder%Arteriovenous fistula%Hematoma
目的：探讨如意金黄散外敷及喜疗妥涂抹治疗动静脉内瘘血肿的效果。方法将132例动静脉内瘘使用过程中发生皮下血肿的患者随机分为两组，其中对照组66例，发生血肿后常规按压，止血后冰袋冷敷血肿处，24 h后使用毛巾进行局部湿热敷，于热敷后在血肿局部涂抹喜疗妥软膏并轻轻按摩5~10 min，直至药膏全部经皮肤吸收，每日进行3~4次。研究组66例，血肿发生24 h后将如意金黄散用蜂蜜或清茶调匀成稀泥状外敷，每天更换2~3次。观察两组临床疗效。结果对血肿范围5~10 cm及>10 cm，研究组在血肿面积缩小等方面的疗效明显优于对照组，差异有统计学意义（P<0.05）；研究组在48 h、72 h疼痛程度分级与对照组比较，明显减轻（P<0.01）。结论如意金黄散外敷治疗动静脉内瘘使用过程中血肿引发的疼痛以及发生范围5~10 cm及>10 cm的皮下血肿消散、吸收的疗效显著，操作简便，值得推广。
目的：探討如意金黃散外敷及喜療妥塗抹治療動靜脈內瘺血腫的效果。方法將132例動靜脈內瘺使用過程中髮生皮下血腫的患者隨機分為兩組，其中對照組66例，髮生血腫後常規按壓，止血後冰袋冷敷血腫處，24 h後使用毛巾進行跼部濕熱敷，于熱敷後在血腫跼部塗抹喜療妥軟膏併輕輕按摩5~10 min，直至藥膏全部經皮膚吸收，每日進行3~4次。研究組66例，血腫髮生24 h後將如意金黃散用蜂蜜或清茶調勻成稀泥狀外敷，每天更換2~3次。觀察兩組臨床療效。結果對血腫範圍5~10 cm及>10 cm，研究組在血腫麵積縮小等方麵的療效明顯優于對照組，差異有統計學意義（P<0.05）；研究組在48 h、72 h疼痛程度分級與對照組比較，明顯減輕（P<0.01）。結論如意金黃散外敷治療動靜脈內瘺使用過程中血腫引髮的疼痛以及髮生範圍5~10 cm及>10 cm的皮下血腫消散、吸收的療效顯著，操作簡便，值得推廣。
목적：탐토여의금황산외부급희료타도말치료동정맥내루혈종적효과。방법장132례동정맥내루사용과정중발생피하혈종적환자수궤분위량조，기중대조조66례，발생혈종후상규안압，지혈후빙대랭부혈종처，24 h후사용모건진행국부습열부，우열부후재혈종국부도말희료타연고병경경안마5~10 min，직지약고전부경피부흡수，매일진행3~4차。연구조66례，혈종발생24 h후장여의금황산용봉밀혹청다조균성희니상외부，매천경환2~3차。관찰량조림상료효。결과대혈종범위5~10 cm급>10 cm，연구조재혈종면적축소등방면적료효명현우우대조조，차이유통계학의의（P<0.05）；연구조재48 h、72 h동통정도분급여대조조비교，명현감경（P<0.01）。결론여의금황산외부치료동정맥내루사용과정중혈종인발적동통이급발생범위5~10 cm급>10 cm적피하혈종소산、흡수적료효현저，조작간편，치득추엄。
Objective To compare the clinical efficacy between Ruyi golden powder with hiru doid for arteriovenous fis-tula hematoman. Methods A total of 132 cases with subcutaneous hematoma in arteriovenous fistula were divided into two groups randomly. 66 cases of control group was treated with conventional pressure, icepack being applied after hemostasis, local wet towels fomentation after 24 hours, then hirudoid cream topical smearing with massage for 5-10 minutes until creams being absorbed through the skin, with 3-4 times per day. 66 cases of study group were treated with Ruyi golden powder with tea or honey to mix thoroughly into the mud like for local application in 24h of hematoma formation, with 2-3 times per day. Clinical efficacy of two groups was compared. Results In range of 5-10 cm and range of >10 cm, hmatoma size reduction of study group was better than that in the control group (P<0.05);Pain levels of study group after 48 h and 72 h were more mild than that in the control group(P<0.01). Conclusion Clini-cal efficacy of pain relief,and range of 5-10 cm and >10 cm subcutaneous hematoma dissipated,absorption is signifi-cant,and easy to operate,worthy of clinical promotion.
