临床荟萃

• 论著 • 上一篇    下一篇

四步按摩法在维持性血液透析患者内瘘血栓形成后的应用

  

  1. 邢台市人民医院 肾内科,河北 邢台 054000
  • 出版日期:2016-05-05 发布日期:2016-05-04
  • 通讯作者: 郭更新,Email:316126777@qq.com

Application of fourstep massage method in maintenance hemodialysis patients with thrombosis of arteriovenous fistula

  1. Department of Nephrology, Xingtai People’s Hospital, Xingtai 054000, China
  • Online:2016-05-05 Published:2016-05-04
  • Contact: Corresponding author: Guo Gengxin, Email: 316126777@qq.com

摘要: 目的 观察运用四步按摩法治疗动静脉内瘘急性血栓形成的疗效。方法 纳入前臂自体动静脉内瘘急性
血栓形成患者36例,按照治疗手法不同分为两组。对照组实行常规按摩手法,研究组采用四步按摩法,均配合尿激酶持
续静脉泵入溶栓,对比两组溶栓治疗的成功率、透析血流量、治疗时间及血肿并发症等情况。结果 研究组再通率高于
对照组,透析血流量大于对照组,而研究组治疗时间、血肿发生率低于对照组(P <0.05)。结论 对自体动静脉内瘘急
性血栓形成的血液透析患者,经四步手法按摩联合药物溶栓治疗成功率高,再通快,血肿发生率低,值得临床推广。

关键词: 动静脉瘘, 血栓形成, 机械溶栓, 按摩

Abstract:

Objective  To investigate the curative effect of fourstep massage method in maintenance hemodialysis patients with thrombosis of arteriovenous fistula. Methods  Thirtysix patients with acute thrombosis in forearm autogenous internal arteriovenous fistula were enrolled in this study and separated into the control group (18 cases) and the research group (18 cases). Routine massage method was implemented in control group, while fourstep massage method was implemented in research group. Both of them were followed by continous intravenous pumping of urokinase. The success rate of thrombolytic therapy, blood flow volume during the first time dialysis after recanalization, duration treatment, and the occurrence rate of hematomas were compared between two groups. Results  In research group, the recanalization rate and blood flow volume during the first time dialysis were significantly higher than those in control group, while the treatment duration and the occurrence rate of hematomas were significantly lower than those in control group(P<0.05).Conclusion  For maintenance hemodialysis patients with acute thrombosis in forearm autogenous internal arteriovenous fistula, fourstep massage method combined with urokinase  showed higher success rate, faster recanalization and fewer hematomas rate in thrombolysis and it  worths  clinical promoting.

Key words: arteriovenous fistula, thrombosis, mechanical thrombolysis, massage