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