中医外治法治疗动静脉内瘘并发症研究进展
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摘要
自体动静脉内瘘作为血液透析首选的血管通路,是维持性血液透析患者的生命线,其容易发生内瘘皮下血肿、血管狭窄、血栓形成等并发症,如治疗不当,最终可能导致内瘘失用。中医外治法在该领域近年的研究有所进展,尤其是中药外敷法在干预内瘘皮下血肿、血管狭窄、血栓形成等方面收到较好疗效。现就近年来中医外治法对于动静脉内瘘并发症的应用概况作一综述,以供临床参考。
Autologous arteriovenous internal fistula,the first choice of vascular access in hemodialysis,is the lifeline for maintenance hemodialysis patients. It can easily bring about complications such as subcutaneous hematoma, vascular stenosis,and thrombus. However,without proper treatment,apraxia of internal fistula can be a possible consequence of autologous arteriovenous internal fistula. In recent years,progress has been made in the research concerning the external treatment of Chinese medicine. It is noticeable that the external application of Chinese medicine has a significant curative effect in intervening the formation of the above-mentioned complications. Therefore,the authors summarized the application of external treatment of Chinese medicine for the complications of arteriovenous internal fistula,so as to provide references for the clinical treatment.
Autologous arteriovenous internal fistula,the first choice of vascular access in hemodialysis,is the lifeline for maintenance hemodialysis patients. It can easily bring about complications such as subcutaneous hematoma, vascular stenosis,and thrombus. However,without proper treatment,apraxia of internal fistula can be a possible consequence of autologous arteriovenous internal fistula. In recent years,progress has been made in the research concerning the external treatment of Chinese medicine. It is noticeable that the external application of Chinese medicine has a significant curative effect in intervening the formation of the above-mentioned complications. Therefore,the authors summarized the application of external treatment of Chinese medicine for the complications of arteriovenous internal fistula,so as to provide references for the clinical treatment.
引文
[1]中国医院协会血液净化中心管理分会血液净化通路学组.中国血液透析用血管通路专家共识(第1版)[J].中国血液净化,2014,13(8):549-558.
[2]Kazem zadeh GH,Modaghegh MHS,Ravari HI,et al.Primary pa-tency rate of nativev AV fistula:long term follow up[J].Int I Clin Exp Med,2012,5(2):173-178.
[3]曾平,陈铖.动静脉内瘘狭窄的放射治疗[J].医学研究杂志,2016,45(12):153-156.
[4]李彩凤,许树根.维持性血液透析患者动静脉内瘘栓塞影响因素分析[J].2013,12(2):78-81.
[5]侯海晶,林俊杰,王立新.艾灸对维持性血液透析患者动静脉内瘘功能障碍疗效观察[J].新中医,2012,44(6):144-145.
[6]卢婷婷,黄国东,葛旭,等.活血化瘀法维护动静脉内瘘功能的应用研究进展[J].广西中医药大学学报,2014,17(2):88-90.
[7]莫继安,王晶.自制活血化瘀膏外敷治疗动静脉内瘘皮下血肿[J].护理研究,2014,28(2):484-485.
[8]时宽凡.中药外敷治疗动静脉内瘘皮下血肿的疗效观察[J].基层医学论坛,2017,21(12):1454-1455.
[9]王窕,杜义斌.中药溻渍的理论基础及应用现状[J].中医外治杂志,2015,24(6):52-53.
[10]石镜.中药熏洗对血液透析患者动静脉内瘘的影响与分析[J].科学咨询:科技·管理,2013,31(8):67-68.
[11]余伟,吴广州,凌通.论中医推拿与现代康复[J].中医药管理杂志,2016,24(18):9-10.
[12]许焕芳,赵百孝.艾灸疗法作用机理浅述[J].上海针灸杂志,2012,31(1):6-9.
[13]于晓瑜,饶家珍,蒙向欣,等.三七灸促进动静脉内瘘成熟疗效观察[J].中国中西医结合肾病杂志,2014,15(3):245-246.
[14]付丽华.艾灸改善2例血液透析动静脉内瘘血流量不足的效果观察[J].内蒙古中医药,2014,33(3):74-75.
[15]王娟,李薇.1例内瘘穿刺透析治疗发生皮下巨大血肿患者的护理[J].护理学杂志:综合版,2012,27(23):42.
[16]谢可,孙玄静,黄秀.大黄僵蚕蚕砂方外敷治疗动静脉内瘘并发症30例[J].陕西中医,2015,36(1):50-51.
[17]李香娥,胡兰芳,曾锦,等.红花酒精湿敷治疗自体动-静脉内瘘并发症的疗效[J].江苏医药,2016,42(16):1792-1794.
[18]边红萍,刘光珍.活血通脉方湿敷治疗血液透析所致动静脉内瘘血管炎临床观察[J].山西中医,2012,28(4):12-13.
[19]唐欢,徐震宇,沈永红.三七粉加金黄膏外敷在动静脉内瘘穿刺后皮下血肿中的应用[J].护理实践与研究,2013,10(10):35-36.
[20]贾西妓,李丽,付文杰,等.四黄膏外敷治疗血液透析患者动静脉内瘘皮下血肿的疗效观察[J].中国药房,2016,27(11):1553-1554.
[21]叶小莲,涂春兰,刘爱彭,等.自制复方黄连液冰敷动静脉穿刺所致皮下血肿的效果研究[J].护理学报,2014,21(4):64-66.
[22]李彩凤,许树根.维持性血液透析患者动静脉内瘘栓塞影响因素分析[J].中国血液净化,2013,12(2):78-81.
[23]卓少贤,吴凤金.木瓜酒湿敷预防动静脉内瘘并发症的效果观察[J].中华全科医学,2012,10(6):975-976.
[24]解新霞,王米兰,陶熹缘.如意金黄散联合远红外线理疗对血液透析患者动静脉内瘘的保护作用[J].中国中医药科技,2016,23(4):477-478.
[25]李清萍,全能花,王敏.艾灸劳宫穴防治动静脉内瘘早期栓塞[J].当代医学,2015,21(29):147-148.
[26]鲁华,霍鹏飞,刘倩,等.四步按摩法在维持性血液透析患者内瘘血栓形成后的应用[J].临床荟萃,2016,31(5):524-527.
[27]黄璟,王立新.艾灸疗法对血液透析患者动静脉内瘘功能的影响[J].四川中医,2016,34(9):181-182.
[28]应灵妹,鲁科达,于伟,等.中药湿热敷提高慢性肾衰患者动静脉内瘘成熟质量的临床研究[J].临床研究,2015,47(7):37-39.
[29]赵化南,陈波,石焕玉,等.赵化南辨证用药促进自体动静脉内瘘成熟的疗效观察[J].河南中医,2015,35(11):2716-2718.
[30]邱丽蓉,程冬梅,钟守英,等.功能锻炼配合中药熏洗对自体动静脉内瘘成熟的影响[J].中医药导报,2016,22(17):91-93.
[31]曲正平,张守琳,崔成姬.中药塌渍结合特定电磁波照射促进内瘘成熟的实用性效果评价[J].中国继续医学教育,2016,8(21):170-171.
[32]曲正平,张守琳,梁雪,等.手法按摩在自体动静脉内瘘术后护理中的应用[J].护理研究,2016,30(1):222-223.
[2]Kazem zadeh GH,Modaghegh MHS,Ravari HI,et al.Primary pa-tency rate of nativev AV fistula:long term follow up[J].Int I Clin Exp Med,2012,5(2):173-178.
[3]曾平,陈铖.动静脉内瘘狭窄的放射治疗[J].医学研究杂志,2016,45(12):153-156.
[4]李彩凤,许树根.维持性血液透析患者动静脉内瘘栓塞影响因素分析[J].2013,12(2):78-81.
[5]侯海晶,林俊杰,王立新.艾灸对维持性血液透析患者动静脉内瘘功能障碍疗效观察[J].新中医,2012,44(6):144-145.
[6]卢婷婷,黄国东,葛旭,等.活血化瘀法维护动静脉内瘘功能的应用研究进展[J].广西中医药大学学报,2014,17(2):88-90.
[7]莫继安,王晶.自制活血化瘀膏外敷治疗动静脉内瘘皮下血肿[J].护理研究,2014,28(2):484-485.
[8]时宽凡.中药外敷治疗动静脉内瘘皮下血肿的疗效观察[J].基层医学论坛,2017,21(12):1454-1455.
[9]王窕,杜义斌.中药溻渍的理论基础及应用现状[J].中医外治杂志,2015,24(6):52-53.
[10]石镜.中药熏洗对血液透析患者动静脉内瘘的影响与分析[J].科学咨询:科技·管理,2013,31(8):67-68.
[11]余伟,吴广州,凌通.论中医推拿与现代康复[J].中医药管理杂志,2016,24(18):9-10.
[12]许焕芳,赵百孝.艾灸疗法作用机理浅述[J].上海针灸杂志,2012,31(1):6-9.
[13]于晓瑜,饶家珍,蒙向欣,等.三七灸促进动静脉内瘘成熟疗效观察[J].中国中西医结合肾病杂志,2014,15(3):245-246.
[14]付丽华.艾灸改善2例血液透析动静脉内瘘血流量不足的效果观察[J].内蒙古中医药,2014,33(3):74-75.
[15]王娟,李薇.1例内瘘穿刺透析治疗发生皮下巨大血肿患者的护理[J].护理学杂志:综合版,2012,27(23):42.
[16]谢可,孙玄静,黄秀.大黄僵蚕蚕砂方外敷治疗动静脉内瘘并发症30例[J].陕西中医,2015,36(1):50-51.
[17]李香娥,胡兰芳,曾锦,等.红花酒精湿敷治疗自体动-静脉内瘘并发症的疗效[J].江苏医药,2016,42(16):1792-1794.
[18]边红萍,刘光珍.活血通脉方湿敷治疗血液透析所致动静脉内瘘血管炎临床观察[J].山西中医,2012,28(4):12-13.
[19]唐欢,徐震宇,沈永红.三七粉加金黄膏外敷在动静脉内瘘穿刺后皮下血肿中的应用[J].护理实践与研究,2013,10(10):35-36.
[20]贾西妓,李丽,付文杰,等.四黄膏外敷治疗血液透析患者动静脉内瘘皮下血肿的疗效观察[J].中国药房,2016,27(11):1553-1554.
[21]叶小莲,涂春兰,刘爱彭,等.自制复方黄连液冰敷动静脉穿刺所致皮下血肿的效果研究[J].护理学报,2014,21(4):64-66.
[22]李彩凤,许树根.维持性血液透析患者动静脉内瘘栓塞影响因素分析[J].中国血液净化,2013,12(2):78-81.
[23]卓少贤,吴凤金.木瓜酒湿敷预防动静脉内瘘并发症的效果观察[J].中华全科医学,2012,10(6):975-976.
[24]解新霞,王米兰,陶熹缘.如意金黄散联合远红外线理疗对血液透析患者动静脉内瘘的保护作用[J].中国中医药科技,2016,23(4):477-478.
[25]李清萍,全能花,王敏.艾灸劳宫穴防治动静脉内瘘早期栓塞[J].当代医学,2015,21(29):147-148.
[26]鲁华,霍鹏飞,刘倩,等.四步按摩法在维持性血液透析患者内瘘血栓形成后的应用[J].临床荟萃,2016,31(5):524-527.
[27]黄璟,王立新.艾灸疗法对血液透析患者动静脉内瘘功能的影响[J].四川中医,2016,34(9):181-182.
[28]应灵妹,鲁科达,于伟,等.中药湿热敷提高慢性肾衰患者动静脉内瘘成熟质量的临床研究[J].临床研究,2015,47(7):37-39.
[29]赵化南,陈波,石焕玉,等.赵化南辨证用药促进自体动静脉内瘘成熟的疗效观察[J].河南中医,2015,35(11):2716-2718.
[30]邱丽蓉,程冬梅,钟守英,等.功能锻炼配合中药熏洗对自体动静脉内瘘成熟的影响[J].中医药导报,2016,22(17):91-93.
[31]曲正平,张守琳,崔成姬.中药塌渍结合特定电磁波照射促进内瘘成熟的实用性效果评价[J].中国继续医学教育,2016,8(21):170-171.
[32]曲正平,张守琳,梁雪,等.手法按摩在自体动静脉内瘘术后护理中的应用[J].护理研究,2016,30(1):222-223.