Abstract:

Objective　To investigate the nursing effect of traditional Chinese medicine hot compress combined with mucopolysaccharide polysulfate cream on arteriovenous fistula hematoma. Methods　This study was a randomized controlled trial. Sixty patients with arteriovenous fistula hematoma admitted to Lianyungang Hospital of TCM from February 2021 to February 2023 were selected and were randomly divided into two groups: a combination group of 30 cases and a reference group of 30 cases. In the reference group, 21 males and 9 females, aged (47.58±7.15) years, were treated with mucopolysaccharide polysulfate cream combined with routine care. In the combination group, 20 males and 10 females, aged (46.45±6.14) years, were treated with traditional Chinese medicine hot compress on the basis of the reference group. The subcutaneous hematoma resolution time, pain duration, incidences of complications, and nursing satisfaction of the two groups were recorded and compared. t test and χ² test were used. Results　The subcutaneous hematoma resolution time and pain duration in the combination group were shorter than those in the reference group [(7.54±2.25) d vs. (10.85±3.14) d, (4.25±0.48) d vs. (6.50±0.51) d], with statistically significant differences (t=6.934 and 9.072, both P<0.001). The incidence of complications in the combination group was lower than that in the reference group [6.67% (2/30) vs. 26.67% (8/30)], and the overall satisfaction with nursing of the combination group was higher than that of the reference group [90.00% (27/30) vs. 66.67% (20/30)], with statistically significant differences (χ²=4.320 and 4.812, P=0.038 and 0.028). Conclusion　The combination of traditional Chinese medicine hot compress and mucopolysaccharide polysulfate cream can save the subcutaneous hematoma resolution time and pain duration for patients with arteriovenous fistula hematoma, improve the nursing satisfaction, reduce the complications, and alleviate the inflammation, which is worthy of clinical promotion.

Key words:

Arteriovenous fistula, Hematoma, Traditional Chinese medicine hot compress, Mucopolysaccharide polysulfate cream, Nursing effect

摘要：

目的　探讨中药热敷联合多磺酸粘多糖乳膏对动静脉内瘘血肿的护理效果。方法　本研究为随机对照试验。选取2021年2月至2023年2月连云港市中医院门诊动静脉内瘘血肿患者60例，按照随机数字表法分为参照组30例和联合组30例。参照组男21例，女9例，年龄（47.58±7.15）岁，采用多磺酸粘多糖乳膏联合常规护理；联合组男20例，女10例，年龄（46.45±6.14）岁，在参照组基础上实施中药热敷。记录并比较两组患者的皮下血肿消退时间和疼痛持续时间、并发症发生情况、护理满意度。采用t检验、χ²检验。结果　联合组患者的皮下血肿消退时间、疼痛持续时间均短于参照组［（7.54±2.25）d比（10.85±3.14）d、（4.25±0.48）d比（6.50±0.51）d］，差异均有统计学意义（t=6.934、9.072，均P<0.001）；联合组患者的并发症发生率低于参照组［6.67%（2/30）比26.67%（8/30）］，护理总满意度高于参照组［90.00%（27/30）比66.67%（20/30）］，差异均有统计学意义（χ²=4.320、4.812，P=0.038、0.028）。结论　中药热敷联合多磺酸粘多糖乳膏可加快动静脉内瘘血肿患者的皮下血肿消退，缩短疼痛持续时间，提升护理满意度，减少并发症发生，缓解炎症，值得临床推广。

关键词:

动静脉内瘘, 血肿, 中药热敷, 多磺酸粘多糖乳膏, 护理效果