护理实践与研究
護理實踐與研究
호리실천여연구
Nursing Practice and Research
2015年
11期
41-43
,共3页
血液透析%远红外线疗法%自体动静脉内瘘%血流量
血液透析%遠紅外線療法%自體動靜脈內瘺%血流量
혈액투석%원홍외선요법%자체동정맥내루%혈류량
Maintenance hemodialysis%Far infrared therapy%Arteriovenous fistula%Blood flow
目的:探讨远红外线(FIR)疗法对于改善维持性血液透析患者自体动静脉内瘘(AVF)状况、减少 AVF 并发症、提高 AVF 充盈度、改善血流量,进而改善患者透析质量及舒适度等方面的影响。方法:比较我院血液净化中心60例采用 AVF 进行维持性血液透析的患者在使用 FIR疗法前和使用6个月后 AVF 流量、透析中可达到血流量、透析中血压、透析中高血压及低血压发生次数、血管性血友病因子活性等变化情况。结果:FIR 疗法使用6个月后患者 AVF 流量和透析中血流量明显高于治疗前(P ﹤0.05),透析充分性亦高于治疗前(P ﹤0.05),血管性血友病因子活性低于治疗前(P ﹤0.05),透析中高血压及低血压发生次数低于治疗前(P ﹤0.05)。结论:(1)FIR 疗法安全、可靠,不会增加护士穿刺难度。(2)FIR 疗法能提高 AVF 流量及透析中血流量,提高透析充分性。(3)FIR 疗法对于患者透析中的血压具有双向调节作用,有利于改善患者对于透析的耐受度,改善透析舒适度。(4)FIR 疗法有利于改善 AVF 血管炎症状态及内皮功能。
目的:探討遠紅外線(FIR)療法對于改善維持性血液透析患者自體動靜脈內瘺(AVF)狀況、減少 AVF 併髮癥、提高 AVF 充盈度、改善血流量,進而改善患者透析質量及舒適度等方麵的影響。方法:比較我院血液淨化中心60例採用 AVF 進行維持性血液透析的患者在使用 FIR療法前和使用6箇月後 AVF 流量、透析中可達到血流量、透析中血壓、透析中高血壓及低血壓髮生次數、血管性血友病因子活性等變化情況。結果:FIR 療法使用6箇月後患者 AVF 流量和透析中血流量明顯高于治療前(P ﹤0.05),透析充分性亦高于治療前(P ﹤0.05),血管性血友病因子活性低于治療前(P ﹤0.05),透析中高血壓及低血壓髮生次數低于治療前(P ﹤0.05)。結論:(1)FIR 療法安全、可靠,不會增加護士穿刺難度。(2)FIR 療法能提高 AVF 流量及透析中血流量,提高透析充分性。(3)FIR 療法對于患者透析中的血壓具有雙嚮調節作用,有利于改善患者對于透析的耐受度,改善透析舒適度。(4)FIR 療法有利于改善 AVF 血管炎癥狀態及內皮功能。
목적:탐토원홍외선(FIR)요법대우개선유지성혈액투석환자자체동정맥내루(AVF)상황、감소 AVF 병발증、제고 AVF 충영도、개선혈류량,진이개선환자투석질량급서괄도등방면적영향。방법:비교아원혈액정화중심60례채용 AVF 진행유지성혈액투석적환자재사용 FIR요법전화사용6개월후 AVF 류량、투석중가체도혈류량、투석중혈압、투석중고혈압급저혈압발생차수、혈관성혈우병인자활성등변화정황。결과:FIR 요법사용6개월후환자 AVF 류량화투석중혈류량명현고우치료전(P ﹤0.05),투석충분성역고우치료전(P ﹤0.05),혈관성혈우병인자활성저우치료전(P ﹤0.05),투석중고혈압급저혈압발생차수저우치료전(P ﹤0.05)。결론:(1)FIR 요법안전、가고,불회증가호사천자난도。(2)FIR 요법능제고 AVF 류량급투석중혈류량,제고투석충분성。(3)FIR 요법대우환자투석중적혈압구유쌍향조절작용,유리우개선환자대우투석적내수도,개선투석서괄도。(4)FIR 요법유리우개선 AVF 혈관염증상태급내피공능。
Objective:To investigate the effectiveness of far - infrared therapy(FIR)for improving arteriovenous fistula filling degree,blood flow,dialysis quality and comfort among maintenance hemodialysis patients. Methods:60 patinents with hemodialysis therapy used an FIR before and six months after the use of AVF flow,dialysis,blood flow can be achieved,dialysis blood pressure,hypertension and hypotension in hemodialysis occurrences,von Willebrand fac-tor activity and the like changes. Results:After 6 months with FIR therapy the AVF flow and blood flow was significantly higher than hemodialysis treatment (P ﹤ 0. 05),dialysis adequacy is also higher than before treatment(P ﹤ 0. 05),von Willebrand factor were lower than before treatment(P ﹤ 0. 05),hyper-tension and hypotension dialysis times lower than before treatment(P ﹤ 0. 05). Conclusions:(1)FIR therapy is safe,reliable,does not increase the difficulty of nurse puncture.(2)FIR therapy can improve the flow and dialysis AVF blood flow,improve dialysis adequacy.(3)FIR therapy for dialysis patients in the regulation of blood pressure with two - way,help to improve tolerance for dialysis patients,improve dialysis comfort.(4)FIR therapy will help to improve AVF vascular inflammation and endothelial function.