随身灸联合喜疗妥在血液透析患者自体动静脉内瘘血管中的应用

目的：观察随身灸联合喜疗妥对血液透析患者自体动静脉内瘘血管的影响。方法将在本院2013年3月至2014年11月行血液透析动静脉内瘘穿刺的患者80例随机分为实验组和对照组，对照组采用热敷联合喜疗妥软膏的方法，实验组采用随身灸联合喜疗妥软膏的方法，比较两组干预3个月后的血管情况。结果两组患者在年龄、性别、内瘘使用时间及实验室检查方面均无统计学差异，干预3个月后治疗组患者内瘘血管情况在轻型、中型、重型组的有效率均高于对照组，差异有统计学意义(P<0.05)。结论随身灸联合喜疗妥能促进患者动静脉内瘘血管壁损伤的修复，减少硬节等并发症，延长动静脉内瘘血管的使用寿命，获得足够的血流量，保证有效透析，减轻患者疼痛，提高血液透析患者生存质量。

Application of portable moxibustion combined with hirudoid in autogenous internal arteriovenous fistula in hemodialysis patients

Objective To observe the effect of portable moxibustion combined with hiru doid in autogenous in-ternal arteriovenous fistula in hemodialysis patients. Methods A total of 80 patients undergoing hemodialysis internal arteriovenous fistual puncture from March 2013 to November 2014 were randomly divided into the experimental group and the control group. The patients in the control group received fomentation combined with hirudoid ointment, while the patients in the experimental group received portable moxibustion combined with hirudoid ointment. The blood vessels conditions were compared between the two groups after intervention for 3 months. Results There were no significant differences in the patients' age, gender, internal fistual time or laboratory examinations. The effective rate of internal fistual conditions in the wild, moderate and severe groups were significantly higher than those of the control group after intervention for 3 months, and the difference was statistically significant (P<0. 05) . Conclusions Portable moxibus-tion combined with hirudoid could promote the repair of internal arteriovenous fistual injured vessel wall, reduce indura-tion and other complications, prolong the life of internal arteriovenous fistula, obtain enough blood flow, ensure effec-tive dialysis, alleviate the pain of patients and improve the life quality of hemodialysis patients.