红霉素软膏在动静脉内瘘钝针扣眼穿刺中的应用效果
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摘要
目的研究红霉素软膏在动静脉内瘘钝针扣眼穿刺中的应用效果。方法选取我院2017年9月～2018年2月收治的46例动静脉内瘘钝针扣眼穿刺患者作为研究对象,按照随机数字表法分为对照组(23例)和观察组(23例)。对照组采用常规穿刺后处理方法,观察组在穿刺部位应用红霉素软膏。比较两组经不同方式治疗后的并发症发生及感染情况。结果观察组的并发症发生率为17.39%,低于对照组的34.78%,差异有统计学意义(P<0.05);观察组的感染率为13.04%,低于对照组的21.74%,差异有统计学意义(P<0.05)。结论在动静脉内瘘钝针扣眼穿刺手术中应用红霉素软膏,方法简单方便且安全有效,价格便宜,在预防内瘘感染的同时能轻松去除创口结痂,值得临床推广应用。
Objective To study the effect of Erythromycin Ointment in the puncture of the blunt needle of intemal arteriovenous fistula. Methods A total of 46 patients with intemal arteriovenous fistula treated in our hospital from September 2017 to February 2018 were selected as the subjects. The patients were divided into control group(23 cases) and observation group(23 cases) according to random number table method. The control group was treated with routine post-puncture treatment, while the observation group was treated with erythromycin ointment at the puncture site. The complications and the incidence of infection after treatment between two groups were compared between the two groups.Results Patients in the observation group complication rate was 17.39%, which was lower than that of the control group(34.78%), the difference was statistically significant(P<0.05). The infection rate of the observation group was 13.04%,which was lower than that of the control group(21.74%). The difference was statistically significant(P<0.05). Conclusion The application of erythromycin ointment in blunt needle buttonhole puncture of intemal arteriovenous fistula is simple, convenient, safe, effective and cheap. It can easily remove the scab of the wound while preventing the infection of internal fistula. It is worth popularizing in clinic.
Objective To study the effect of Erythromycin Ointment in the puncture of the blunt needle of intemal arteriovenous fistula. Methods A total of 46 patients with intemal arteriovenous fistula treated in our hospital from September 2017 to February 2018 were selected as the subjects. The patients were divided into control group(23 cases) and observation group(23 cases) according to random number table method. The control group was treated with routine post-puncture treatment, while the observation group was treated with erythromycin ointment at the puncture site. The complications and the incidence of infection after treatment between two groups were compared between the two groups.Results Patients in the observation group complication rate was 17.39%, which was lower than that of the control group(34.78%), the difference was statistically significant(P<0.05). The infection rate of the observation group was 13.04%,which was lower than that of the control group(21.74%). The difference was statistically significant(P<0.05). Conclusion The application of erythromycin ointment in blunt needle buttonhole puncture of intemal arteriovenous fistula is simple, convenient, safe, effective and cheap. It can easily remove the scab of the wound while preventing the infection of internal fistula. It is worth popularizing in clinic.
引文
[1]吴磊,张璜.不同穿刺法在血液透析患者动静脉内瘘保护中的效果比较[J].现代诊断与治疗,2017,28(22):4230-4231.
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[11]李斌.局部使用红霉素与派丽奥在预防非翻瓣种植术早期伤口感染中的效果[J].医疗装备,2017,30(21):7-8.
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[13]卢艳,任宏淼,张欢欢,等.莫匹罗星对血透患者钝针扣眼穿刺后内瘘感染发生率的影响研究[J].海军医学杂志,2017,38(1):63-65.
[14]卢艳艳,林如雅,苏池宴.金霉素眼膏在动静脉内瘘扣眼穿刺中的应用[J].中国乡村医药,2016,23(8):32.
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[2]符婕.钝针扣眼穿刺法在动静脉内瘘差透析患者的护理应用[J].中国实用医药,2017,12(29):183-184.
[3]王珏,张金霞,丁晓仙,等.喜疗妥软膏联合钝针扣眼穿刺在血液透析动静脉内瘘中的应用体会[J].北方药学,2017,14(6):174-175.
[4]吴绪红,詹云凤.血液透析患者难穿刺内瘘中钝针扣眼穿刺方法的应用效果[J].中外医学研究,2017,15(14):101-102.
[5]陈远文,曾建芬,陈珍.探究应用钝针扣眼法在动静脉内瘘穿刺中的护理效果[J].中国实用医药,2017,12(4):160-162.
[6]凌芳.52例血液透析钝针穿刺皮肤护理研究[J].实用临床护理学电子杂志,2017,2(5):62,65.
[7]赵海珠,黄海萍,方少样,等.钝针扣眼穿刺法在血液透析患者动静脉内瘘穿刺中的应用[J].解放军护理杂志,2016,33(8):65-67.
[8]孙俊秀,胡梅仙.钝针扣眼穿刺法在血液透析患者动静脉内瘘中的应用及护理[J].世界最新医学信息文摘,2017,17(5):154.
[9]郑淑娟,黄秀碧,简小兰,等.开展钝针扣眼穿刺动静脉内瘘在血液透析中保护内瘘的效果观察[J].中国卫生标准管理,2016,7(18):49-52.
[10]石梅,陈林,曹晓翼,等.2种不同穿刺法对血液透析患者动静脉内瘘的临床效果研究[J].检验医学与临床,2016,13(3):410-412.
[11]李斌.局部使用红霉素与派丽奥在预防非翻瓣种植术早期伤口感染中的效果[J].医疗装备,2017,30(21):7-8.
[12]罗永红,廖育新,黄瑞莲.红霉素软膏加口服抗生素治疗支原体感染疗效观察[J].深圳中西医结合杂志,2016,26(14):85-86.
[13]卢艳,任宏淼,张欢欢,等.莫匹罗星对血透患者钝针扣眼穿刺后内瘘感染发生率的影响研究[J].海军医学杂志,2017,38(1):63-65.
[14]卢艳艳,林如雅,苏池宴.金霉素眼膏在动静脉内瘘扣眼穿刺中的应用[J].中国乡村医药,2016,23(8):32.
[15]廖锦华,邱丽珠.钝针扣眼穿刺法在动静脉内瘘穿刺中的应用[J].世界最新医学信息文摘,2016,16(72):336.