[1]杜辉.远红外线治疗仪联合多磺酸黏多糖乳膏在自体动静脉内瘘狭窄术后的应用[J].中国医学物理学杂志,2023,40(5):642-646.[doi:DOI:10.3969/j.issn.1005-202X.2023.05.019]
　DU Hui.Therapeutic effect of far infrared irradiation combined with polysulfonic acid mucopolysaccharide cream on postoperative stenosis in autologous arteriovenous fistula[J].Chinese Journal of Medical Physics,2023,40(5):642-646.[doi:DOI:10.3969/j.issn.1005-202X.2023.05.019]
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远红外线治疗仪联合多磺酸黏多糖乳膏在自体动静脉内瘘狭窄术后的应用()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
40卷
期数:
2023年第5期
页码:
642-646
栏目:
医学生物物理
出版日期:
2023-05-26

文章信息/Info

Title:
Therapeutic effect of far infrared irradiation combined with polysulfonic acid mucopolysaccharide cream on postoperative stenosis in autologous arteriovenous fistula
文章编号:
1005-202X（2023）05-0642-05
作者:
杜辉
湘南学院附属医院血液透析室， 湖南 郴州 423000
Author(s):
DU Hui
Department of Hemodialysis, Affiliated Hospital of Xiangnan University, Chenzhou 423000, China
关键词:
远红外线治疗仪; 多磺酸黏多糖乳膏; 自体动静脉内瘘狭窄; 炎症反应; 并发症
Keywords:
Keywords: far infrared therapeutic apparatus polysulfonic acid mucopolysaccharide cream autologous arteriovenous fistula stenosis inflammatory response complication
分类号:
R692.5
DOI:
DOI:10.3969/j.issn.1005-202X.2023.05.019
文献标志码:
A
摘要:
目的：观察远红外线治疗仪联合多磺酸黏多糖乳膏在自体动静脉内瘘狭窄术后的应用效果。方法：选取行自体动静脉内瘘狭窄术患者115例，简单随机法分为对照组57例和观察组58例。对照组术后内瘘处涂抹多磺酸黏多糖乳膏，而观察组在内瘘处涂抹多磺酸黏多糖乳膏基础上采用远红外线治疗仪进行红外线照射。比较两组术后并发症、内瘘及术后半年内血管通路通畅情况，比较两组炎症因子的差异。结果：观察组和对照组累计并发症分别为2例和8例。治疗前，两组炎症因子水平比较无显著差异（P>0.05），治疗后，两组炎症因子水平均下降，观察组上述指标下降程度大于对照组（P<0.05）。治疗前，两组内瘘情况比较，差异无统计学意义（P>0.05），治疗后，两组内瘘血管内径增粗、血流量升高，内瘘血管峰值流速下降，观察组内瘘血管内径、血流量及血管峰值流速改善程度大于对照组（P<0.05）。两组术后1、3、6个月时血管通路通畅率比较无显著差异（P>0.05）。结论：远红外线治疗仪联合多磺酸黏多糖乳膏可减少自体动静脉内瘘狭窄术后应激炎症反应，改善内瘘血管内径和血流量，降低并发症。
Abstract:
Abstract: Objective To explore the value of the combination of far infrared irradiation with polysulfonic acid mucopolysaccharide cream after surgery for the stenosis in autologous arteriovenous fistula. Methods A total of 115 patients who underwent surgery for the stenosis in autologous arteriovenous fistula were enrolled and randomly divided into control group (n=57) and observation group (n=58). In control group, polysulfonic acid mucopolysaccharide cream was applied to the internal fistula after surgery, while observation group was treated with far infrared irradiation and polysulfonic acid mucopolysaccharide cream on the internal fistula. The postsurgical complications, internal fistulas and vascular access patency within 6 months after surgery were compared between two groups, and the differences in inflammatory factors were detected between two groups. Results There were 2 and 8 cases of complications in observation group and control group. The levels of inflammatory factors before treatment were close in two groups (P>0.05). After treatment, the levels of inflammatory factors were decreased in both groups, and the decreases in observation group were greater than those in control group (P<0.05). Before treatment, no difference was found in the internal fistula between two groups (P>0.05). The treatments in both groups increased the internal diameter and blood flow of the internal fistula, and decreased the peak flow velocity of the internal fistula and the improvements were more obvious in observation group as compared with control group (P<0.05). There was no difference in the patency rates of vascular access between two groups at 1, 3 and 6 months after surgery (P>0.05). Conclusion The far infrared irradiation combined with polysulfonic acid mucopolysaccharide cream can reduce the stress inflammatory response after surgery for the stenosis in autologous arteriovenous fistula, improve the inner diameter and blood flow of the internal fistula, and lower the risk of post-surgical complications.

备注/Memo

备注/Memo:
【收稿日期】2022-12-23 【基金项目】湖南省教育厅科学研究项目（19C1396）；湘南学院院级研究项目（2022JX93） 【作者简介】杜辉，研究方向：肾脏内科、血液透析，E-mail: duhui202209@163.com
更新日期/Last Update: 2023-05-26