水胶体敷料联合湿热敷对动静脉内瘘穿刺后血肿的影响

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Abstract Objective To investigate the effect of hydrocolloid dressing combined with wet hot compress on hematoma after arteriovenous fistula puncture. Methods A total of 108 patients with hematoma after arteriovenous fistula in Central South University Xiangya School of Medical Affiliated Haikou Hospital from October 2016 to June 2018 were selected as the subjects, they were divided into the control group (54 cases) and the observation group (54 cases) by random number table method. The control group was given wet hot compress with 50% magnesium sulfate, and the observation group was given hydrocolloid dressing apply based on the control group. The hematoma regression time, blood flow, pain degree, degree of vascular sclerosis, time of ecchymosis disappearance and treatment effect were compared between the two groups. Results After 2 weeks of treatment, the hematoma regression time in the observation group was shorter than that in the control group (P ＜ 0.05); blood flow in the two groups increased and the observation group was higher than that in the control group (P ＜ 0.05); the degree of pain in the observation group was significantly lower than that in the control group (P ＜ 0.05); the degree of vascular sclerosis in the observation group was lower than that in the control group (P ＜ 0.05); the effective rate of treatment in the observation group was higher than that in the control group (P ＜ 0.05). Conclusion Hydrocolloid dressing combined with 50% magnesium sulfate wet hot compress can significantly reduce the hematoma time, increase the blood flow of arteriovenous fistula, reduce the degree of pain and atherosclerosis, and promote the regression of ecchymosis and improve the treatment effect.

Key words： Hydrocolloid dressing Wet hot compress Arteriovenous fistula Hematoma

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	XU Man ZHOU Qiongrong TAN Lian PAN Zenghui LONG qun

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XU Man ZHOU Qiongrong TAN Lian PAN Zenghui LONG qun. Effect of hydrocolloid dressing combined with wet hot compress on hematoma after arteriovenous fistula puncture[J]. 中国医药导报, 2020, 17(16): 90-93.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I16/90

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