凝爽降温贴在血液透析患者内瘘血肿初期的应用

目的探讨凝爽降温贴对消退血液透析患者内瘘血肿初期的应用效果。方法选取2016年1月至2018年6月在南京大学医学院附属鼓楼医院采用动静脉内瘘行血液透析穿刺发生血肿的患者64例,随机分为试验组和对照组各32例,对照组在内瘘血肿初期采用冰敷进行护理,试验组采用凝爽降温贴进行护理,比较两组患者在采用不同护理方法后的血肿直径、疼痛值,并比较不同方法的操作时间及患者舒适度。结果在干预前及干预后4 h、24 h,两组患者的血肿直径比较,差异无统计学意义(P>0.05);在干预前,两组患者的疼痛值比较,差异无统计学意义(P>0.05),在干预后2 h、4 h、24 h,两组患者的疼痛值比较,差异有统计学意义(P<0.05);两种护理方法的操作时间及患者舒适度比较,差异有统计学差异(P<0.05)。结论内瘘血肿初期使用凝爽降温贴,可消退患者皮下血肿,缓解患者疼痛,提高患者的舒适度,其操作简单方便,可提高护理效率。

Application of cooling patchto early haematoma during internal arteriovenous fistula in hemodialysis patients

Objective To investigate the effect of cooling patch on early stage haematoma due to hemorrhage during the internal arteriovenous fistula in hemodialysis patients.Methods A total of 64 hemodialysis patients with arteriovenous fistula,who had haematoma during hemolysis puncture with internal arteriovenous fistula performed from January 2016 to June 2018,were recruited.They were randomly divided into experimental group(32 patients)and control group(32 patients).In the experimental group the patients used cooling patch while the patients in control group received ice compress for treatment of haematoma.The diameters of hematoma in patients of different groups were measured before treatment,and 4 h and 24 h after treatment.The VAS values for pain before and after intervention were also recorded.Operation time and patient comfort were compared between the two groups.Results The diameters of hematoma before treatment,and 4 h and 24 h after treatment did not have statistically significant difference between the two groups(P>0.05).The VAS values before intervention were similar(P>0.05),however,patients from the experimental group showed lower VAS values at 2 h,4 h and 24 h after intervention(P<0.05)when compared to control group.There were statistically significant differences between the two groups regarding operation time and patient comfort(P<0.05).Conclusions The use of cooling patch at the early stage of haematoma can relieve pain and improve patient comfort with simple procedure and improved nursing efficiency.