首页|中药热敷联合多磺酸粘多糖乳膏治疗动静脉内瘘血肿的效果观察

中药热敷联合多磺酸粘多糖乳膏治疗动静脉内瘘血肿的效果观察

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目的 探讨中药热敷联合多磺酸粘多糖乳膏对动静脉内瘘血肿的护理效果。方法 本研究为随机对照试验。选取2021年2月至2023年2月连云港市中医院门诊动静脉内瘘血肿患者60例,按照随机数字表法分为参照组30例和联合组30例。参照组男21例,女9例,年龄(47。58±7。15)岁,采用多磺酸粘多糖乳膏联合常规护理;联合组男20例,女10例,年龄(46。45±6。14)岁,在参照组基础上实施中药热敷。记录并比较两组患者的皮下血肿消退时间和疼痛持续时间、并发症发生情况、护理满意度。采用t检验、x2检验。结果 联合组患者的皮下血肿消退时间、疼痛持续时间均短于参照组[(7。54±2。25)d 比(10。85±3。14)d、(4。25±0。48)d 比(6。50±0。51)d],差异均有统计学意义(t=6。934、9。072,均P<0。001);联合组患者的并发症发生率低于参照组[6。67%(2/30)比26。67%(8/30)],护理总满意度高于参照组[90。00%(27/30)比66。67%(20/30)],差异均有统计学意义(x2=4。320、4。812,P=0。038、0。028)。结论 中药热敷联合多磺酸粘多糖乳膏可加快动静脉内瘘血肿患者的皮下血肿消退,缩短疼痛持续时间,提升护理满意度,减少并发症发生,缓解炎症,值得临床推广。
Effect of traditional Chinese medicine hot compress combined with mucopolysaccharide polysulfate cream on arteriovenous fistula hematoma
Objective To investigate the nursing effect of traditional Chinese medicine hot compress combined with mucopolysaccharide polysulfate cream on arteriovenous fistula hema-toma.Methods This study was a randomized controlled trial.Sixty patients with arteriovenous fis-tula hematoma admitted to Lianyungang Hospital of TCM from February 2021 to February 2023 were selected and were randomly divided into two groups:a combination group of 30 cases and a reference group of 30 cases.In the reference group,21 males and 9 females,aged(47.58±7.15)years,were treated with mucopolysaccharide polysulfate cream combined with routine care.In the combination group,20 males and 10 females,aged(46.45±6.14)years,were treated with traditional Chinese medicine hot compress on the basis of the reference group.The subcutaneous hematoma resolution time,pain duration,incidences of complications,and nursing satisfaction of the two groups were recorded and compared.t test and x2 test were used.Results The subcutaneous hema-toma resolution time and pain duration in the combination group were shorter than those in the ref-erence group[(7.54±2.25)d vs.(10.85±3.14)d,(4.25±0.48)d vs.(6.50±0.51)d],with statistically sig-nificant differences(t=6.934 and 9.072,both P<0.001).The incidence of complications in the combi-nation group was lower than that in the reference group[6.67%(2/30)vs.26.67%(8/30)],and the overall satisfaction with nursing of the combination group was higher than that of the reference group[90.00%(27/30)vs.66.67%(20/30)],with statistically significant differences(x2=4.320 and 4.812,P=0.038 and 0.028).Conclusion The combination of traditional Chinese medicine hot com-press and mucopolysaccharide polysulfate cream can save the subcutaneous hematoma resolution time and pain duration for patients with arteriovenous fistula hematoma,improve the nursing satis-faction,reduce the complications,and alleviate the inflammation,which is worthy of clinical promo-tion.

Arteriovenous fistulaHematomaTraditional Chinese medicine hot compressMucopolysaccharide polysulfate creamNursing effect

时宽凡、温永双、魏亚琼

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连云港市中医院血液净化室,连云港 222000

动静脉内瘘 血肿 中药热敷 多磺酸粘多糖乳膏 护理效果

连云港市科协软课题研究项目

Lkxyb22195

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(4)
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