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HITH-4远红外线治疗仪联合喜辽妥对糖尿病透析患者 内瘘功能的保护效果研究

Protective effect of Far Infrared Therapy Using HITH-4 Type Apparatus and External Use of Hirudoid for Autogenous Arteriovenous Fistula in Diabetic Dialysis Patients

摘要:背景 动静脉内瘘的功能维护对糖尿病血液透析患者至关重要。红外线照射可以明显改善伴有糖尿病血液透析患者动静脉内瘘功能的不良状况,但HITH-4远红外线治疗仪联合喜辽妥对糖尿病血液透析患者内瘘功能的保护作用的有效性评价报道较少。目的 探讨HITH-4远红外线治疗仪联合喜辽妥乳膏对糖尿病血液透析患者内瘘功能的保护效果。方法 选取应用自体动静脉内瘘的糖尿病血液透析患者60例。将患者随机分为两组,每组30例,对照组:应用喜辽妥乳膏局部涂抹;干预组:应用HITH-4远红外线治疗仪进行内瘘侧肢体的照射并局部涂抹喜辽妥乳膏。干预半年,比较两组患者针眼愈合时间、血痂消失时间、透析血流量、动脉压、肱动脉血流量以及内瘘血管并发症。结果 两组患者一般情况比较,差异无统计学差异(P>0.05)。干预组针眼愈合时间与血痂消失时间明显短于对照组,治疗后透析血流量和动脉压、肱动脉血流量明显高于对照组(P<0.05)。干预组患者皮肤血肿、局部出血、内瘘血栓的发生率低于对照组(P<0.05)。结论 HITH-4远红外线治疗仪联合喜辽妥维护动静脉内瘘,能够降低血管狭窄的风险及血管并发症的发病风险,有效的维护了糖尿病血液透析患者动静脉内瘘的功能。

英文摘要:Background The maintenance of autogenous arteriovenous fistula (AVF) is crucial to diabetics with hemodialysis. Far infrared therapy (FIR) can significantly improve the condition of AVF in these patients. But the protective effectiveness of FIR using HITH-4 type apparatus combined with external use of Hirudoid for AVF in diabetic patients is less reported. Objective To explore the protective effect of FIR using HITH-4 type apparatus and external use of Hirudoid for AVF in diabetic hemodialysis patients. Methods Sixty diabetic patients with hemodialysis using an AVF were selected,and equally,randomly divided into a control group and an intervention group. The control group received local application of Hirudoid Cream,and the intervention group received FIR using HITH-4 type apparatus for irradiating the limb of the arteriovenous fistula side and local application of Hirudoid Cream. The puncture point healing time,disappearance time of the puncture site scab,dialysis blood flow,arterial pressure,brachial artery blood flow and complications of AVF were compared between the two groups after a six-month intervention. Results Two groups had no significant differences in demographics (P>0.05). Compared with the control group,the puncture point healing time and disappearance time of the puncture site scab in the intervention group were significantly shorter (P<0.05). The dialysis blood flow and arterial pressure in the intervention group were significantly higher (P<0.05). The brachial artery blood flow in the intervention group was also much higher (P<0.05). The incidence of complications,including cutaneous hematoma,local hemorrhage and fistula thrombosis,in the intervention group was muchlower (P<0.05). Conclusion FIR using HITH-4 type apparatus and external use of Hirudoid could effectively protect and maintain the AVF, and reduce the risk of vascular stenosis and vascular complications in diabetics with hemodialysis.

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[V1] 2022-08-15 09:53:20 chinaXiv:202208.00096V1 下载全文
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