跌打追风酒浸渍联合TDP红外线治疗仪照射在肾功能衰竭尿毒症中的应用效果

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摘要目的：观察跌打追风酒浸渍联合TDP红外线治疗仪照射对自体动静脉内瘘成熟的影响。方法：选取2018年1月―2022年2月我院门诊或住院收治的120例肾功能衰竭患者为研究对象,以随机数字表法分别纳入对照组（60例）和观察组（60例）。手术方式均为自体动静脉内瘘术,对照组患者治疗后给予多磺酸粘多糖乳膏+TDP红外线治疗仪照射干预,观察组患者治疗后给予跌打追风酒浸渍+TDP红外线治疗仪照射干预。比较两组高敏-C反应蛋白（hs-CRP）及单核细胞趋化蛋白-1（MCP-1）含量,测量两组患者头静脉直径、血流量及内瘘血管壁厚度、动脉阻力指数的差异,统计两组患者首次穿刺成功率和并发症率。结果：对照组患者治疗7 d后hs-CRP、MCP-1较治疗前明显升高,而观察组hs-CRP、MCP-1与治疗前比较无差异,且观察组治疗7 d后hs-CRP、MCP-1均低于对照组。两组患者治疗后15 d、30 d后头静脉直径和血流量均较治疗前明显升高,两组患者治疗15 d后内瘘血管壁厚度、动脉阻力指数与治疗前比较无明显差异。而治疗30 d后两组内瘘血管壁厚度及观察组动脉阻力指数明显较治疗前下降,且观察组患者的头静脉直径、血流量均高于对照组,内瘘血管壁厚度、动脉阻力指数均低于对照组。观察组患者首次穿刺成功率（56/60）高于对照组的（48/60）,而并发症发生率（1/60）与对照组（5/60）比较,无统计学意义。结论：跌打追风酒浸渍联合TDP红外线治疗仪照射可促自体动静脉内瘘成熟,提高首次穿刺成功率,可能与减轻治疗后炎症反应,改善内瘘血管条件有关。

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关键词：跌打追风酒浸渍,TDP红外线治疗仪,自体动静脉内瘘,血管条件

Abstract：ObjectiveTo observe the effect of Diedazhuifeng wine dipping combined with TDP infrared therapy device irradiation on the maturation of autologous arteriovenous fistula.MethodsFrom January 2018 to February 2022, 120 patients with renal failure in outpatient or inpatient treatment at Guilin Hospital of Traditional Chinese Medicine were divided into the control group (60 cases) and the observation group (60 cases) by random number table method. Both groups of patients were treated with autologous arteriovenous fistula. The control group was treated with polysulfonic acid mucopolysaccharide cream + TDP infrared therapeutic apparatus after treatment, while the observation group was treated with Diedazhuifeng wine dipping + TDP infrared therapeutic apparatus after treatment. Irradiation intervention. The differences in high-sensitivity-C-reactive protein (hs-CRP), monocyte chemoattractant protein-1(MCP-1), cephalic vein diameter, blood flow, internal fistula wall thickness, and arterial resistance index were compared. First puncture success rate and complication rate.ResultsThe hs-CRP and MCP-1 in the control group were significantly higher than those before treatment 7 days after treatment, but there was no difference in hs-CRP and MCP-1 in the observation group compared with those before treatment. hs-CRP and MCP-1 were lower than the control group, with statistical significance. The cephalic vein diameter and blood flow in the two groups after 15d and 30d after treatment were significantly higher than those before treatment. There was no difference in the thickness of internal fistula vessel wall and arterial resistance index between the two groups at 15d after treatment. On the 30th day, the thickness of the internal fistula vessel wall in the two groups and the arterial resistance index in the observation group were significantly lower than those before treatment, and the diameter and blood flow of the cephalic vein in the observation group at the same time point after the treatment were higher than those in the control group. The thickness and arterial resistance index were lower than those of the control group, with statistical significance. The success rate of the first puncture in the observation group was 93.33% (56/60), which was higher than 80.00% (48/60) in the control group, while the incidence of complications was 1.67% (1/60), which was not statistically significant compared to 8.33% (5/60) in the control group.ConclusionTreatment of Diedazhuifeng wine dipping combined with TDP infrared device irradiation can promote the maturation of autologous arteriovenous fistula and improve the success rate of first puncture, which may be related to reducing postoperative inflammatory response and improving the vascular condition of the internal fistula.

Key words：Diedazhuifeng wine dipping TDP infrared therapy device autologous arteriovenous fistula vascular condition

收稿日期:2023-06-04

中图分类号:

R459.5

基金资助:广西中医药大学自然科学研究项目（2017LX002）

通讯作者:蒋背乐,E-mail：jiangbeile123456@126.com

引用本文:

蒋背乐, 韦小双, 赵凤毛, 王梓霞, 常虹云, 龚丽琴. 跌打追风酒浸渍联合TDP红外线治疗仪照射在肾功能衰竭尿毒症中的应用效果[J]. 金宝搏官方188学报(医学版), 2023, 20(5): 103-106. JIANG Beile, WEI Xiaoshuang, ZHAO Fengmao, WANG Zixia, CHANG Hongyun, GONG Liqin. The effect of Diedazhuifeng wine dipping combined with TDP infrared therapeutic apparatus irradiation on the maturation of autologous arteriovenous fistula. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(5): 103-106.

链接本文:

http://yxb.hunnu.edu.cn/CN/或http://yxb.hunnu.edu.cn/CN/Y2023/V20/I5/103

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